Humanitarian Appeal (Haiti) 18 February 2010

SAMPLE OF ORGANIZATIONS PARTICIPATING IN CONSOLIDATED APPEALS

ACF GOAL MACCA TEARFUND ACTED GTZ Malteser Terre des Hommes ADRA Handicap International Medair UNAIDS Afghanaid HELP Mercy Corps UNDP AVSI HelpAge International MERLIN UNDSS CARE Humedica NPA UNESCO CARITAS IMC NRC UNFPA CONCERN INTERSOS OCHA UN-HABITAT COOPI IOM OHCHR UNHCR CRS IRC OXFAM UNICEF CWS IRIN Première Urgence WFP DRC Islamic Relief Worldwide Save the Children WHO FAO LWF Solidarités World Vision International

1. EXECUTIVE SUMMARY...... 1 Table I. Summary of Requirements (grouped by appealing organization) ...... 5 Table II. Summary of Requirements (grouped by cluster) ...... 7

2. CONTEXT, RESPONSE TO DATE AND HUMANITARIAN CHALLENGES...... 8

2.1 CONTEXT...... 8 2.2 HUMANITARIAN CHALLENGES AND ACHIEVEMENTS ...... 10 2.3 OVERVIEW OF MAIN ELEMENTS OF RESPONSE TO DATE, KEY CHALLENGES AND GAPS ...... 14

3. NEEDS ANALYSIS ...... 21

3.1 PRE-EXISTING SITUATION AND UNDERLYING RISK AND VULNERABILITY...... 21 3.2 SOCIO-ECONOMIC PROFILE AND LOCATION OF EARTHQUAKE-AFFECTED PEOPLE ...... 22 3.3 CURRENT SITUATION...... 22 3.4 LOOKING FORWARD ...... 27 3.5 THE PDNA AND EARLY RECOVERY IN THE REVISED FLASH APPEAL: ARTICULATION BETWEEN HUMANITARIAN RESPONSE AND RECOVERY FRAMEWORKS ...... 29

4. THE 2010 COMMON HUMANITARIAN ACTION PLAN...... 31

4.1 SCENARIOS...... 31 4.2 STRATEGIC OBJECTIVES FOR HUMANITARIAN ACTION IN 2010...... 33 4.2.1 Priority clusters’ short-term objectives until May...... 34 4.3 STRATEGIC MONITORING PLAN ...... 36 4.4 CRITERIA FOR SELECTION OF PROJECTS...... 38 4.5 CLUSTER RESPONSE PLANS...... 40 4.5.1 Emergency shelter & non-food items...... 40 4.5.2 Camp coordination and camp management ...... 44 4.5.3 WASH...... 48 4.5.4 Health ...... 51 4.5.5 Food aid...... 58 4.5.6 Nutrition ...... 62 4.5.7 Agriculture ...... 67 4.5.8 Early recovery...... 73 4.5.9 Protection ...... 76 4.5.10 Education...... 79 4.5.11 Logistics...... 82 4.5.12 Emergency telecommunications...... 86 4.5.13 Coordination and support services ...... 87 4.6 ROLES AND RESPONSIBILITIES...... 92

5. CONCLUSION ...... 95

ANNEX I. LIST OF PROJECTS (GROUPED BY CLUSTER), , WITH HYPERLINKS TO OPEN FULL PROJECT DETAILS ...... 96 ANNEX II. TOTAL CONTRIBUTIONS, COMMITMENTS, AND PLEDGES TO DATE PER DONOR...... 114 ANNEX III. INTERNATIONAL FEDERATION OF RED CROSS AND RED CRESCENT SOCIETIES HAITI EMERGENCY APPEAL ...... 117 ANNEX IV. ACRONYMS AND ABBREVIATIONS ...... 121

Please note that appeals are revised regularly. The latest version of this document is available on http://www.humanitarianappeal.net.

Full project details, continually updated, can be viewed, downloaded and printed from www.reliefweb.int/fts

iii

HAITI - Reference Map

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1. EXECUTIVE SUMMARY

The strongest earthquake in Haiti in more than 200 years, measuring 7.0 on the Richter scale, rocked the impoverished Caribbean nation on 12 January 2010 in the late afternoon. The earthquake struck Ouest Province around an epicentre 17km south-west of Haiti’s capital, Port-au-Prince, which suffered extensive damage. The nearby cities of Carrefour and Jacmel and other areas to the west and south of Port-au-Prince were also affected, with the town of Léogâne reported to be 80% destroyed. The exact number of people killed will probably never be known, and surveys and verification are ongoing, but the most recent Government estimates place the figure at some 217,300 dead, and some 300,600 wounded. Over 97,000 houses were destroyed, and over 188,000 damaged to some degree. Three million people have been affected, of whom the Government estimates 1.9 million have lost their homes and over 511,000 have left the affected cities. All organisations and institutions – Governmental, national and international – which would normally have responded to the needs were all heavily affected through loss of personnel and equipment.

A massive international relief effort was rapidly Haiti Revised Humanitarian Appeal put in place in spite of extraordinary logistical Key parameters challenges, particularly the earthquake’s Duration 12 months (January-December destruction of entry points into Port-au-Prince. 2010) Damage to Port-au-Prince’s seaport forced aid Key Planting seasons: March, June agencies to try to supply a city of three million milestones Rainy season: April-June and using the sole runway at the capital’s airport, in 2010 August-November plus some overland transport from the Harvests: June, October Dominican Republic. The seaport was Hurricane season: June- completely unusable for the first ten days of the November aid operation and is still not functioning at Key issues • Shelter & sanitation before normal capacity. A Flash Appeal, requesting of concern April rainy season to US$562 million1 (later adjusted to $577 million) mitigate morbidity from water-borne diseases in emergency humanitarian assistance, was • Rubble removal launched on January 15. As of February 16, it • Camp management was 100% funded, although funds are not • Cash for work evenly allocated and some sectors such as • Restoring livelihoods / agriculture remain severely under-funded. economic activities, particularly agricultural input The need for a continued international support humanitarian response is currently assessed as • Earthquake-related disabilities extremely high in terms of both scale and • Protection concerns, urgency. Some three million people require particularly sexual violence humanitarian assistance of some kind, most of in temporary settlements whom are estimated to require urgent, life- Total funding Funding requested saving or life-sustaining response, while some requested per beneficiary mainly require livelihood support without being at $1.4 billion $481 increased risk to life, health or safety. Two million require food assistance. Host families and communities are bearing much of the burden of supporting displaced people, and need a range of assistance. Although some economic activity has resumed, the livelihoods of the majority of the affected population seem to have been severely affected by the earthquake. Much is expected from the Post-Disaster Needs Assessment (PDNA) in terms of identifying longer-term needs.

The emergency phase of humanitarian relief operations will endure for many months to come, and challenges to the international humanitarian response remain significant, mainly operational constraints which include logistics, communication and coordination among the very large number of

1 All dollar signs in this document denote United States dollars. Funding for this appeal should be reported to the Financial Tracking Service (FTS, [email protected]), which will display its requirements and funding on the CAP 2010 page.

humanitarian organizations (around 1,000) now on the ground. Protection and assistance needs of internally displaced people (IDPs) in the border area and victims arriving in the Dominican Republic are also a concern. Contingency planning is underway to prepare for the upcoming rainy and hurricane seasons from April to November, and their related hydro-meteorological hazards such as flooding, mudslides, and storm surges, as well as further aftershocks, taking into consideration displaced populations and logistical impediments. Over 90% of the recent disasters in Haiti have been linked to hydro-meteorological and climate-related hazards such as tropical cyclones, flash floods and landslides, all of which have been further exacerbated by massive deforestation. The effect of the rainy season, once it begins in earnest, and flooding on already damaged buildings and infrastructure is causing serious concern.

While significant improvements have been made in the ability to reach those in need with food, water, healthcare and shelter, humanitarian needs in Haiti remain immense. Until the situation stabilizes and plans for recovery and reconstruction are clearer, plus bearing in mind the urgent need to prepare for the rains and likely flooding, the current level of humanitarian response – relief and early recovery – must increase and be expanded to more people and to yet-unreached parts of the country. The overarching humanitarian objective is to provide an environment for safe and healthy living for all affected people until reconstruction restores normality. The strategy to achieve this will involve a mixture of accommodation and support in medium-term camps and settlements, support to those dispersed to host communities and to their hosts, and support in situ in damaged towns for those who can stay. To this end, the Humanitarian Country Team (HCT) in Haiti has revised the Flash Appeal into a full humanitarian appeal with a planning and budgeting horizon of 12 months.

The Revised Humanitarian Appeal is a strategic and detailed plan aiming to assist the three million people directly affected by the earthquake and to support host families in the departments that have received the half million people that fled the capital. It also includes planning and preparedness ahead of the impending rainy season, including for disaster risk reduction, and significant early recovery priorities including further expansion of cash-for-work programmes. The overall objectives identified for the Appeal are to: 1. Provide the full needed range of humanitarian support for at least 1,200,000 earthquake- affected people who need shelter and other time-critical life-saving actions, especially in water/sanitation/hygiene, health care, basic household items, food aid, nutritional support, and protection, emphasising the key linkages among these sectors; 2. Re-establish existing or establish temporary new physical and social infrastructure and services for three million earthquake-affected people in Haiti and the Dominican Republic, including health, food security, economic livelihoods support, education, community spaces and community groups; 3. Continue the strengthening of Government capacity for coordination at all levels and the rapid scale-up of common services, including logistics, telecommunications, security, and coordination in the face of current severe conditions, plus expected worse conditions in the near future; 4. Put in place preparedness, disaster risk reduction, and contingency planning (each mainstreamed throughout clusters) in anticipation of worsening conditions resulting from the imminent rainy and hurricane season and their associated risks of flooding, mudslides and storm surges.

The priority needs in the Appeal at the moment are: • Shelter provision to IDPs through identification of safe sites, distribution of shelter materials, and appropriate water and sanitation before the rainy season. • Increasing cash-for-work to support livelihoods especially through rubble removal which facilitates aid operations, return and reconstruction. • Food aid, nutritional and agricultural support, with an increasing emphasis on food-for-work specifically targeting rural and host communities to which IDPs have moved. • Health, in particular primary health care and monitoring.

• Protection activities for IDPs, women, children and other vulnerable people who are at heightened risk of various forms of exploitation, neglect or abuse. • Education activities, emphasizing psycho-social support and limiting disruption to learning by rapidly opening temporary schools. • Logistics and emergency telecommunications to support efficient and timely aid delivery.

Revised financial requirements for one year have been assessed at $1.4 billion, including the original six-month Flash Appeal amount. The Revised Humanitarian Appeal has expanded to include the activities of 76 aid organizations. With the initial Flash Appeal having received 100% funding (counting committed as well as paid funding), plus existing funding for some of the projects newly presented in this revision, unmet requirements for this emergency in 2010 are $768 million.

Current figures on affected population – three million overall, of whom:

Killed 217,366 Wounded 300,572 Missing 383 In spontaneous settlements 1,237,032 (including 1,215,790 in/around Port-au-Prince)_ Displaced outside Port-au-Prince 511,405

Source: Civil Protection Directorate (Direction de la Protection Civile [DPC]) bulletin no. 13, 15 February 2010

Basic humanitarian and development indicators for Haiti (pre-earthquake)

9,761,929 people (Source: Institut Haïtien de Population Statistique et d'Informatique (IHSI) 2008) $660 Gross national income per capita (Source: World Bank: Key Development Data & Economic Statistics 2008) status 54.9% for the years between 2000–20072 Percentage of population living on less (Source: UNDP Human Development Report than $1.25 per day [HDR] 2009) Ratio of female to male earned income 0,37 (Source: UNDP HDR 2009) 323/1,000: Male Adult mortality (2007) 233 /1,000: Female (source: World Health Statistics 2009) 670/100,000 live births Maternal mortality (UNICEF: Childinfo statistical tables) 79/1,000: Male Under-five mortality (2007) 73 /1,000: Female (source: World Health Statistics 2009) Health 53: Male Life expectancy at birth (2007) 55: Female (source: World Health Statistics 2009) Number of health workforce 4/10,000 in 2000 (MD+nurse+midwife) per 10,000 (source: World Health Statistics 2009) population Measles immunization coverage among 58% in 2007 one-year-olds (source: World Health Statistics 2009) Prevalence of under-nourishment in total 58% (FAO Statistics: Prevalence of under population nourishment 2004-2006) Nutrition Prevalence of underweight in 18.9% (The International Food Policy Research children under five years Institute [IFPRI] Global Hunger Index 2001-2006) 5.4 million people undernourished (FAO SOFI Food 2009) Food security indicator security 1.8 million people food-insecure (FEWS NET October 2009) Urban – 70%, Rural – 51%, Overall – 58% Proportion of population with access to (Joint Monitoring Project 2008, UNICEF/WHO improved drinking water coverage based on 2008 figures) WASH Urban - 29%, Rural – 12%, Overall - 19% Proportion of population with access to (Joint Monitoring Project 2008, UNICEF/WHO improved sanitation coverage based on 2006 figures)

V: 2, C: 1.81 (out of scale 0-3, 3 being most European Commission Humanitarian Aid severe) Office (ECHO) Vulnerability and Crisis (Source: ECHO Global Needs Analysis [GNA] Other Index score 2008-2009) vulnerability 0.532: 149th of 182 countries (Medium Human indices UNDP Human Development Index score Development) UNDP Gender Empowerment Measure 149th out of 182 countries (GEM)

2 Data refer to the most recent year available during the period specified.

Table I. Summary of Requirements (grouped by appealing organization)

Table I: Summary of requirements, commitments/contributions and pledges (grouped by appealing organization) Haiti Flash Appeal (Revised) (January - December 2010) as of 17 February 2010 http://www.reliefweb.int/fts

Compiled by OCHA on the basis of information provided by donors and appealing organizations Page 1 of 2

Appealing Organization Original Revised Funding % Unmet Uncommitted Requirements Requirements Covered Requirements Pledges

Values in US$ A B C C/B B-C D

ACDI - 3,280,000 - 0% 3,280,000 - ACF 700,000 17,062,000 11,894,185 70% 5,167,815 - ACTED - 20,005,943 8,485,151 42% 11,520,792 - ADRA-Haiti - 478,100 - 0% 478,100 478,000 Aide et Action - 1,109,385 - 0% 1,109,385 - ARC - 300,000 - 0% 300,000 - AVSF - 1,720,464 - 0% 1,720,464 - AVSI - 2,724,836 - 0% 2,724,836 - Bioforce - 414,433 - 0% 414,433 - CARE International - 12,575,000 6,501,225 52% 6,073,775 - CECOSIDA - 255,000 - 0% 255,000 - CEHPAPE - 750,000 - 0% 750,000 - CISP - 183,130 - 0% 183,130 - COOPI - 1,380,000 - 0% 1,380,000 - CW - 4,731,309 - 0% 4,731,309 - Deep Springs International 400,000 472,592 - 0% 472,592 - ERF (OCHA) - - 59,387,837 0% (59,387,837) - FAO 23,000,000 45,199,880 1,750,000 4% 43,449,880 - FHED-INC - 1,800,000 - 0% 1,800,000 - Finnchurchaid - 3,000,000 937,951 31% 2,062,049 - Floresta - 896,161 - 0% 896,161 - FRATERNITE NOTRE DAME - 1,087,500 - 0% 1,087,500 - Heartland Alliance - 915,867 - 0% 915,867 - HHI - 4,998,180 - 0% 4,998,180 - HI 5,850,000 10,782,000 1,227,758 11% 9,554,242 - Hopital Albert Schweitzer - 3,390,000 - 0% 3,390,000 - Hopital Sainte Croix - 575,000 - 0% 575,000 - HWA - 2,534,389 - 0% 2,534,389 - ILO 2,380,000 4,580,000 - 0% 4,580,000 - IMC 2,200,000 6,195,279 3,800,607 61% 2,394,672 - INTERSOS - 600,600 - 0% 600,600 - IOM 29,175,000 123,278,171 39,623,913 32% 83,654,258 - IRC 250,000 2,351,000 250,000 11% 2,101,000 - IRD - 4,096,927 425,000 10% 3,671,927 - IRD/MEBSH - 973,000 - 0% 973,000 - JRS - 814,947 - 0% 814,947 - MARCH - 480,080 - 0% 480,080 - MDM Greece 400,000 900,000 577,201 64% 322,799 - Mercy Corps - 1,192,688 125,000 10% 1,067,688 100,000 MERLIN 500,000 9,208,000 5,583,222 61% 3,624,778 -

The list of projects and the figures for their funding requirements in this document are a snapshot as of 17 February 2010. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (www.reliefweb.int/fts).

Compiled by OCHA on the basis of information provided by donors and appealing organizations Page 2 of 2

Appealing Organization Original Revised Funding % Unmet Uncommitted Requirements Requirements Covered Requirements Pledges

Values in US$ A B C C/B B-C D

NCA - 3,290,000 2,079,723 63% 1,210,277 - OCHA 6,677,579 17,658,678 11,173,202 63% 6,485,476 890,336 OHCHR 530,000 1,800,000 1,832,612 100% (32,612) - OI - 1,553,885 - 0% 1,553,885 - OXFAM GB 3,000,000 5,440,950 5,440,950 100% - - OXFAM Quebec - 50,025 - 0% 50,025 - PIH - 10,000,000 10,000,000 100% - - Plan 1,000,000 7,610,000 523,031 7% 7,086,969 4,416,575 Project K.I.D. - 3,579,425 - 0% 3,579,425 - RedR UK - 414,433 - 0% 414,433 - RI - 8,660,820 1,500,000 17% 7,160,820 - Samaritan's Purse - 500,000 272,250 54% 227,750 - SC 9,825,000 51,124,992 28,084,423 55% 23,040,569 - Solidarités - 2,500,000 - 0% 2,500,000 - Terre Des Hommes 800,000 1,600,000 1,039,608 65% 560,392 - UCODEP - 252,000 - 0% 252,000 - UN Agencies and NGOs (details not yet provided) - - - 0% - 8,000,000

UNAIDS 600,000 717,581 24,331 3% 693,250 -

UNDOCO - 950,000 - 0% 950,000 -

UNDP 35,600,000 103,898,043 19,895,767 19% 84,002,276 500,000 UNDSS 3,810,000 3,610,000 240,848 7% 3,369,152 - UNEP 1,000,000 8,350,000 - 0% 8,350,000 - UNESCO 1,900,000 4,050,000 520,000 13% 3,530,000 - UNFPA 4,550,000 16,748,595 6,273,638 37% 10,474,957 - UN-HABITAT 13,430,000 23,137,904 30,000 0% 23,107,904 - UNHCR - 1,770,406 - 0% 1,770,406 - UNICEF 119,975,000 172,757,000 167,201,813 97% 5,555,187 837,144 UNIFEM 800,000 1,700,000 199,020 12% 1,500,980 - UNISDR - 1,000,000 - 0% 1,000,000 - UNOOSA - 133,750 - 0% 133,750 - UNOPS - 31,703,889 - 0% 31,703,889 - UNOSAT 58,850 191,530 - 0% 191,530 - WCH - 2,908,500 - 0% 2,908,500 - WFP 279,849,225 586,858,812 250,837,023 43% 336,021,789 981,444 WHO 10,000,000 54,188,050 17,840,973 33% 36,347,077 - WMO - 890,000 - 0% 890,000 - World YWCA - 200,000 - 0% 200,000 - WVI 3,800,000 12,456,791 8,153,849 65% 4,302,942 -

GRAND TOTAL 562,060,654 1,441,547,920 673,732,111 47% 767,815,809 16,203,499

Table II. Summary of Requirements (grouped by cluster)

Table II: Summary of requirements, commitments/contributions and pledges (grouped by cluster) Haiti Flash Appeal (Revised) (January - December 2010) as of 17 February 2010 http://www.reliefweb.int/fts

Compiled by OCHA on the basis of information provided by donors and appealing organizations

Cluster Original Revised Funding % Unmet Uncommitted Requirements Requirements Covered Requirements Pledges

Value in US$ A B C C/B B-C D

AGRICULTURE 23,000,000 70,640,554 4,965,682 7% 65,674,872 -

CAMP COORDINATION AND CAMP 1,300,000 73,044,540 5,987,750 8% 67,056,790 - MANAGEMENT (CCCM) CLUSTER NOT SPECIFIED - - 190,724,080 0% (190,724,080) 8,788,600

COORDINATION AND SUPPORT SERVICES 10,487,579 33,639,471 12,143,820 36% 21,495,651 890,336

EARLY RECOVERY 49,218,850 157,564,378 27,309,577 17% 130,254,801 2,796,618

EDUCATION 11,100,000 76,042,842 30,646,459 40% 45,396,383 1,148,309

EMERGENCY SHELTER AND NON-FOOD ITEMS 29,250,000 118,523,653 25,561,618 22% 92,962,035 -

EMERGENCY TELECOMMUNICATIONS 782,460 7,475,513 1,452,490 19% 6,023,023 -

FOOD AID 246,039,060 480,418,546 136,231,164 28% 344,187,382 -

HEALTH 33,900,000 134,067,349 75,307,109 56% 58,760,240 -

LOGISTICS 33,527,705 104,923,179 45,587,619 43% 59,335,560 481,444

NUTRITION 48,400,000 43,453,946 29,974,348 69% 13,479,598 500,000

PROTECTION 16,230,000 61,115,324 24,115,057 39% 37,000,267 1,549,648

WATER, SANITATION AND HYGIENE 58,825,000 80,638,625 63,725,338 79% 16,913,287 48,544

Grand Total 562,060,654 1,441,547,920 673,732,111 47% 767,815,809 16,203,499

NOTE: "Funding" means Contributions + Commitments + Carry-over

Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed). Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed.

Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.

2. CONTEXT, RESPONSE TO DATE AND HUMANITARIAN CHALLENGES

2.1 Context The strongest earthquake in Haiti in more than 200 years, measuring 7.0 on the Richter scale, rocked the impoverished Caribbean nation on 12 January at 4.53 p.m. (local time). The earthquake struck Ouest Province (population 2.2 million), with the epicentre 17km south-west of Haiti’s capital, Port-au- Prince. The nearby cities of Carrefour and Jacmel, as well as other areas to the west and south of Port-au-Prince, were also affected, with the town of Léogâne reported to be 80% destroyed.

According to the Haitian Civil Protection Unit, 20 communes of the Ouest department, especially the communes of Cabaret, Cite Soleil, Croix-de Bouquets, Tabarre, Carrefour, Grand-Goave, Gressier, Léogâne, Petit-Goave, Delmas, Petion-Ville, and the capital city Port-au-Prince, were the hardest hit. Ten communes of the South-east department also suffered extensive damage, with the worst damage occurring in Jacmel. There was minor damage and impact in the departments of Nippes and Grande- Anse.

Obtaining accurate figures on the numbers of people killed and wounded is still difficult, for a number of reasons. Whilst these figures cannot yet be said to be definitive, according to the Government, the earthquake has led to the deaths of at least 217,300 people (2% of the population of Haiti), with 300,572 reported as having suffered injuries of various kinds, including at least 1,000 people who had at least one limb amputated. The affected population is estimated at three million (30% of the population of Haiti), of whom over 1,200,000 are in need of shelter support. As a measure of how the earthquake directly struck those who would normally offer emergency response, 102 UN staff died in the earthquake. The table below gives the latest figures on affected populations and housing damage.

Damage statistics and population movements People in Displaced Houses Department Deaths Missing Wounded Families need of outside Destroyed Damaged shelter PAP to* Artibonite 162,509 Centre 90,997 Grande- 9 0 19 989 0 98,871 106 883 Anse Nippes 12 39 4,279 33,350 257 4022 Nord 13,531 Nord-Est 8,500 Nord-Ouest 0 0 0 0 0 45,862 0 0 Ouest 216,904 369 299,803 242,310 1,215,790 32,253 89,310 153,000 Sud 25,532 Sud-Est 441 14 711 39,334 21,242 7,621 30,478 TOTAL 217,366 383 300,572 286,912 1,237,032 511,405 97,294 188,383 Source: DPC, 15 February 2010 *Note: in the absence of more precise disaggregated data, relief agencies are estimating a 50/50 split in the affected population between men and women.

The initial relief efforts in Haiti were challenged in an unprecedented way as much capital infrastructure was damaged or destroyed in the earthquake. Every significant entry point into Haiti that was expected to function in a relief effort was damaged, and huge obstacles needed to be overcome to initiate an emergency response. Extensive augmentation of the logistics infrastructure was required to begin operations. The level of casualties sustained by the civil service and damage to public buildings has affected national capacity to lead and coordinate the response, although in the month after the earthquake, national and local authorities have been increasingly active and are key partners to the relief effort.

The earthquake has significantly increased the number of food-insecure people in Haiti. Prior to the earthquake, some 1.8 million people (nearly 20% of the population) were estimated to be food- insecure. In 2008 civil unrest, high food prices, three hurricanes and one tropical storm depleted household incomes, displaced thousands and ravaged infrastructure. The earthquake has severely exacerbated already high levels of vulnerability. The outflow of people from the worst-hit areas (Port- au-Prince, Carrefour, Léogâne, Delmas and Jacmel), combined with the severe damage to national infrastructure, is beginning to have a measurable effect on lives and livelihoods across large areas of the country.

2.2 Humanitarian Challenges and Achievements While substantial quantities of relief items have started reaching Haiti by air, road and sea, bottlenecks and the limited capacity of the logistics supply chain were a major challenge. The basic operational fact was the seaport being out of operation because of earthquake damage. This meant that Port-au-Prince, a city of three million, had to be fed, watered, and otherwise supplied almost entirely via a single- runway airport (plus some overland transport from the Dominican Republic, which emerged as a key lifeline). Such an operation had scarcely ever Phuong Tran - Port Jeremie, one of Haiti's several ports from where thousands been attempted in the history of of Haitians are waiting to board boats to travel to different parts of Hait disaster relief, and novel challenges emerged. Along with relief supplies for earthquake victims, large-scale operational assets and supplies had to be flown in, especially as many of the aid agencies’ pre-existing assets in Haiti were themselves damaged beyond use. There was not enough tarmac space at the airport to park all the offloading planes; incoming planes had to be held back until an offloaded plane took off and freed a parking slot. Fuel ran short. In response, the humanitarian system and cooperating militaries established a system of triaging incoming flights to ensure that the most urgent cargo landed first. Logistical hubs were established in the seaport and airport of Santo Domingo (capital of neighbouring Dominican Republic) plus logistical support along the road from Santo Domingo to Port-au-Prince. The US military in particular focused on repairing the Port-au-Prince seaport, and was able to restore limited operation within a few weeks. This, combined with the dispatch of a floating dock plus ships capable of offloading without docks, has relieved the pressure on the airport and started to allow the entry of materials up to the scale needed.

Despite these challenges, the humanitarian response was able to rapidly scale up, including medical assistance, food, water, sanitation, shelter, protection, immediate cash-for- work (CfW) activities focusing on removal of debris, and national capacity support, coupled with logistics augmentation to facilitate the delivery and distribution of the

Phuong Tran - Port Jeremie relief aid.

Ousmane Watt – OCHA 10 February 2010

In addition to the gradually-restored logistical entry points, this effort was able to use what little Government capacity survived the earthquake, and the resources of the Haitian people themselves, who in many cases formed the first line of humanitarian response and who were responsible for saving unknown numbers of their compatriots from ruined buildings. The cumulative result of these activities has been the saving of thousands of lives, including a record of 211 people saved from the rubble by national and international search and rescue teams.

The initial response was largely concentrated in Port-au- Prince, Jacmel and Léogâne, which was where the highest numbers of people directly affected by the earthquake were. Efforts are now underway to expand coverage to other areas, in particular rural areas in departments such as Artibonite, Centre, Nord Ouest, and Grande Anse where substantial numbers of IDPs have arrived. According to Government figures, the numbers of displaced people in those four departments may be as high as 77% of the estimated total number of people who were displaced from Port-au-Prince and other earthquake-affected areas.

As of mid-February, 75% of affected people still require shelter. Although food coverage has reached the two million target, assistance needs to be continued to re-supply populations whose rations have run out. There is further a need to diversify the food basket to include daily staple foods such as cooking oil and beans and to reach areas that have Phuong Tran - Judith Saint Vil: "I cannot get any food here in Port-au-Prince. I will feel so far not benefited from the distributions. more at ease in Jeremie" Water is being provided to at least 911,200 people out of a target population of 1,100,000, representing coverage of 82%, but sanitation remains a major concern since 75% of the affected population have not received hygiene kits and latrines are 95% short of the needs. A large number of bilateral and multilateral health partners have responded quickly to the immediate medical needs of wounded populations but major challenges remain to ensure availability of post-operative and trauma care as well as epidemiological surveillance and targeted vaccination campaigns to avoid epidemics.

The Logistics Support System / Humanitarian Supply Management System (LSS/SUMA3) operating out of the PROMESS (Programme de Médicaments Éssentiels / Essential Drugs Programme) warehouse, coordinated the acquisition and distribution of donations and other supplies received through the Port- au-Prince airport. LSS/SUMA has also been set up in Jimani (Dominican Republic), along the border with Haiti, to coordinate the arrival of humanitarian supplies transiting by land. The health cluster plans to use this information to determine supply gaps and distribution priorities.

With the amount of needs and partners, essential drugs and material and medical equipment screening, storage and delivery are challenges. As an example, just in the third week of January, 483,091 kg of pharmaceutical supplies and 4,990 kg of non-pharmaceutical health supplies, such as rubber gloves and masks, arrived at Port-au-Prince airport.

In terms of lessons, the clear value of good coordination of international relief efforts has once again been underlined. The lessons learned from previous disasters and applied through the process of humanitarian reform are paying off, not least through the operation of the cluster system where

3 LSS/SUMA was developed as a joint effort of Latin American and Caribbean countries, with the technical cooperation of the Pan American Health Organization (PAHO), and the Regional Office for the Americas of the World Health Organization (WHO). Its principal objective is to improve the management of humanitarian assistance by strengthening national capacities for the effective management of relief supplies, essentially helping national authorities to make order of the chaos often caused by uncoordinated humanitarian assistance, so that these supplies arrive in a timely and effective manner to aid the affected population.

different UN agencies, NGOs, the Red Cross movement and the Government of Haiti have now organized efforts sectorally. With well over 900 aid agencies working in Haiti as well as the United Nations Stabilization Mission in Haiti (MINUSTAH) and other international deployed forces, it is only together that effectiveness will be maximized by coordinating actions and working in partnership. Other coordination mechanisms that proved themselves included: the launch of the Flash Appeal within 72 hours after the earthquake, itself a major accomplishment; the rapid disbursement of funding from the Central Emergency Response Fund (CERF); and the civil-military coordination framework which includes the Government, MINUSTAH, other international deployed forces and humanitarian actors.

One lesson learned is the need for a UN coordination structure for engineering and infrastructure in this relatively unfamiliar urban environment. A large number of organizations are participating in activities such as building assessments, demolition, debris management, road clearance, salvage, emergency repairs, and electrical grid restart. The absence of a coordinating cell has led to very slow mobilization of assistance, confusion and duplication. A solution is proposed in this revised appeal with the creation of a coordination cell.

There has also been a process of dialogue between international actors, the Haitian Government and the Haitian people affected by the disaster, which has produced a consensus that the right solution to the shelter and other immediate needs is to keep people where they are for the time being and not to create massive camps. Permanent shelter is at least a year off; in the interim, the consensus on the ground – with the agreement of the Government – is that tents form only one part of the immediate response.

In the first days after the crisis, the priority was on life-saving assistance – search and rescue, food, water, health care. Nearly a month into the response, equipment and systems to allocate shared resources amongst the various humanitarian agencies and NGOs and to both coordinate and prioritize needs have improved, with shelter and sanitation identified among the most urgent priorities along with rubble removal.

The role of the military in the humanitarian effort In the immediate aftermath of the earthquake, the United States of America (USA), Canada and an array of other international military forces deployed to Haiti, in support of the humanitarian relief effort and the Government of Haiti, and committed to working in coordination with MINUSTAH. MINUSTAH currently has approximately 7,000 troops and 2,000 police in theatre, with additional reinforcements starting to arrive as of mid-February. The US have some 18,000 troops (part ashore, part on ships), and the Canadians 2,000.

Civil-military coordination has been prioritized accordingly, given the need to liaise effectively with MINUSTAH as well as other international deployed forces lending their support to humanitarian operations. Their assistance and commitment to coordination have been vital. Several civil- military arrangements with the USA, Canada and others have been put in place at different levels at headquarters and on the ground. Particularly important has been the Phuong Tran - rescue helicopter med- evacking patients from Léogâne, Jan 2010 creation of the Joint Operations Tasking Centre (JOTC) in Port-au-Prince, a clearing house for military support to humanitarian operations. The JOTC consists of MINUSTAH, the US and Canadian military (amongst others), the Office for the Coordination of Humanitarian Affairs (OCHA) and UN-civil-military coordination staff. Humanitarian organizations in need of military escorts submit requests to JOTC, which the JOTC prioritizes based on inputs from

cluster leads. The operating principle of the JOTC is that MINUSTAH is the primary provider of security support, with additional support provided by other deployed international forces as required. To date the JOTC has been operating smoothly and effectively.

Effective civil-military coordination has been particularly important to maximize limited logistics capacity to support relief efforts. The coordination mechanisms ensure that requests from the humanitarian community are channelled in a coordinated and prioritized manner to allow for the most efficient use of military resources, including air, land and sea transport. Liaison services include: • The establishment of direct lines of communication and tasking procedures for US military assets through the United States Agency for International Development (USAID) / Office of Foreign Disaster Assistance (OFDA) and also with Canadian forces; • The creation of a coordination platform to facilitate the arrival of incoming humanitarian flights and incoming ships at the Port-au-Prince port; • The setting-up of ground logistics at Port-au-Prince airport including cargo movement, clearing and uplift.

Now that we are entering the second phase of the humanitarian relief operation, it is essential for the humanitarian community to have a clear plan and a strategy for the way ahead, in order to effectively respond to the diverse needs and vulnerabilities, build on the capacities of the affected population, coordinate effectively with key relief actors including the Haitian Government, and inform the military about its requirements for support. Joint planning is a key to this process, and the humanitarian and donor community, together with OCHA as coordinating body, is engaging actively with MINUSTAH and other international deployed forces in order to advise them on the type of support needed for the months ahead. The Revised Humanitarian Appeal will be a fundamental tool to offer the military a strategic humanitarian plan to plug into and support.

2.3 Overview of main elements of response to date, key challenges and gaps

Shelter & Non-Food Items (NFIs)

Main elements of response to date • The national shelter need for those affected by the earthquake is estimated to be around 1.2 – 1.3 million people. For planning purposes, this has been broken down into 15% with host families (180 to 195,000), 10% non-displaced on damaged homesteads (120 to 130,000), 65% in self-settled transitional settlements in urban locations close to their original homes (780 to 845,000) and 10% in planned settlements outside of the capital on new sites (120 to 130,000). • The Shelter Cluster reports that as of 15 February 88,417 tarpaulins have been distributed along with 17,314 family-size tents. This has reached about 24% of the estimated 1.2 million in need of shelter support. As a minimum, the shelter is recommending a target of one tent or two tarps per family of five. • The table below shows an overview of non-food item (NFI) figures as of 15 February, according to the Shelter and NFI Cluster. The cluster membership is now at 70 members, but far from all have regularly reported on their activities. HHs Distribu Projected Remain- In Total NFIs Need Cov- In Stock -ted Coverage ing Need Pipeline Coverage ered Blanket 480,000 110,056 23% 200,303 65% 169,641 344,200 136% Bucket/Jerry Can 480,000 124,227 26% 109,373 49% 246,400 266,578 104% Cot 480,000 1,450 0% - 0% 478,550 - 0% Hygiene Kit 240,000 87,501 36% 18,459 44% 134,040 43,763 62% Kitchen Set 240,000 17,277 7% 40,426 24% 182,297 44,738 43% Mat 480,000 16,104 3% 73,900 19% 389,996 121,440 44% Mosquito nets 480,000 28,388 6% 121,159 31% 330,453 108,640 54% Rope 240,000 28,511 12% 24,120 22% 187,369 100,504 64% Tool Kit 48,000 5,850 12% 8,513 30% 33,637 9,500 50% HH=Household, Ind=Individual Source: Shelter/NFI Cluster, Haiti Earthquake Emergency Response, Distribution Update , 15 February 2010

Challenges and gaps in response • The Government has decided on a policy of keeping 90% of the city’s population close to their homes. • Provision of shelter material other than plastic sheeting is not feasible in most spontaneous camps due to the density of the sites and lack of relocation space in the vicinity. • The Shelter Cluster has committed capacity for universal coverage with plastic sheeting by 1 April and in parallel to build up to 120,000 transitional shelters (620,000 people). While the distribution of plastic sheeting needs to be accelerated to cover populations during the rains which could start as early as end of February, the capacity for transitional, more hurricane-resistant shelter represents only 60% of needs. In order to fill the gap for the remaining 40% of need in transitional shelter a mass procurement strategy was proposed which may need support from external actors to be put in place. Resolving bottlenecks regarding insufficient port handling capacity for large amounts of shelter materials warehousing and trucking and secure distribution points, will be critical if this solution can be presented as a viable option. Engineering assistance is urgently needed to clear drainage and new shelter sites.

Camp Coordination Camp Management (CCCM)

Main elements of response to date • The CCCM Cluster focuses its efforts on displaced people who have spontaneously self-settled in urban sites. As of 16 February, 334 such sites, occupied by 500,260 IDPs (97,659 families) have been mapped, the overwhelming majority of which are in Port-au-Prince, but there are more. • 18 of these sites have been identified with a population of more than 5,000 IDPs each (see response plan for more details) • Nine of these spontaneous settlements, which are being managed by cluster partners, have been identified / approved by the government to become transitional settlements (see CCCM response plan). • In order to proceed with reducing the population of the most hazardous sites before the rainy season, three interlinked factors are critical: i) Rubble removal in the places of origin of people in sites; ii) Assessment of existing houses (for return); iii) Identification of new sites in cooperation with the Government. Challenges and gaps in response • The identification of agencies willing to take on camp management responsibility is still being mapped out. In addition, some agencies currently supervising camp management have indicated their intention to phase out. More implementing organizations are therefore needed. The cluster is liaising with the DPC on the issue of registration of displaced people. The most urgent need still pertains to the identification of safe sites to decongest overcrowded and unsafe sites (e.g. Petionville Golf Club) which risk flooding and spread of epidemics due to the lack of sanitation as soon as the rains start. • Within the CCCM Cluster, the current strategy emphasizes distribution of transitional shelter material kits, rather than tents, at spontaneous sites in urban areas, because tents do not last in tropical sun and heat and require too much space in densely populated sites. The strategy now recommends distribution of shelter material kits that include plastic sheeting and fixing materials at newly organized and planned settlements, materials that can be easily transported to a new site or used in permanent shelter.

Water, Sanitation and Hygiene (WASH)

Main elements of response to date • As of 16 February, the WASH Cluster reports that 850,000 people are being provided with safe drinking water (on the basis of five litres/person/day) through water tankering / treatment in 300 sites across Port-au- Prince, Léogâne, and Jacmel by WASH Cluster partners. Water coverage is actually greater than this figure, however, since many other mechanisms to access water are now available through water supply network in Port-au-Prince and Petit Goave and private sellers, etc. With a target of 1.1 million people with five litres/person/day, the estimated gap in the worst-case scenario is now 188,800 people in need of the minimum coverage. However, increasing the volume of water is also an issue. • According to UNICEF (Cluster lead), more than 1,500 latrines have been constructed as of 16 February. UNICEF has delivered 2,600 latrine slabs to cluster partners and there is a plan for continuous arrival of latrine slabs to enable a constant distribution to partners through this acceleration period. Some 1,000 portable toilet installations will begin on 18 February.. • As of 15 February, 87,500 hygiene kits have been distributed by WASH and Shelter Cluster partners to around 500,000 people.

Challenges and gaps in response • Coverage is not sufficient, currently standing at 5% of the estimated population in need of WASH services. • The WASH Cluster reports a major lack of capacity to undertake large-scale sanitation operations in time for the rainy season. Several constraints were noted including lack of operational NGOs with sufficient capacity to build sanitation facilities, an acute lack of trucks to extract excreta and service latrines. The lack of available dumping sites for discharges is a major constraint and a group of experts is working with the Direction Nationale de l’Eau potable et de l’Assainissement (National Directorate for Potable Water and Sewage - DINEPA) to identify appropriate sites and to increase de-sludging capacity through capacities in the Dominican Republic. Portable toilets alone are not sufficient and need to be combined with digging of traditional trench latrines where possible. The cluster estimates that 25,000 latrines are urgently needed. A procurement and distribution plan for 4,500 portable and/or “emptiable” latrines (which enable maintenance) in Port-au-Prince along with necessary dislodging/vacuum trucks, is in place and will be implemented over the coming weeks.

Health

Main elements of response to date • During the first two weeks after the earthquake, 47 hospitals, two floating boats with helicopter transportation capacities and at least 11 mobile clinics were operated by 55 agencies in the earthquake-affected zone to meet the urgent needs in surgical interventions. • According to Government records, 40,885 patients were treated and 3,201 surgeries performed. • While needs for surgeries have subsided, the current focus of the Health Cluster has shifted towards post- operative care and trauma injuries and care for disabled people. • The scaling-up of mobile clinics to serve populations in various settlement sites is a further priority as agreed to with the Government. Challenges and gaps in response • Major gaps include follow-up care of surgical patients (post operative care, rehabilitation) and provision of mental health services besides re-launching of basic health care services in affected areas and for displaced populations, including the management of communicable and chronicle diseases and reproductive heath services. • The provision of drugs, medical supplies and equipment to NGOs and other partners working in new temporary health facilities remains a logistical challenge.

Food Aid

Main elements of response to date • As of 16 February, the World Food Programme (WFP) and its partners have reached a total of 3.5 million people with varying levels of food since the start of the response. Challenges and gaps in response • The main concerns to date have been dictated by the extent of the requirements - with the consequent volume of aid arriving in country - the congestion at the airport, the fact that the port is not operational, and the difficulties in dispatching due to the traffic in town. Moreover, all partners involved in food distribution need to ensure escort and security at the distribution sites with consequent slowing of the distribution operations. • Food Aid Cluster partners conducted assessments in areas hosting IDPs and are working to scale up assistance in these areas. The hosting areas lack water, shelter, food, medicine and medical staff. • Prices of many commodities are higher than before the earthquake. Monitoring of food prices in Port-au- Prince has indicated that the price of imported rice is 25% higher and wheat flour over 65% higher than before the earthquake. Even those people in regions previously considered food-secure reportedly face difficulties. • In addition, assessments have identified needs in the five border districts with the Dominican Republic. • Inter-agency efforts, including support from the Protection Cluster, to ensure women’s access to food distributions have generally been successful. • There is a need to address women’s safety after departure from food distribution sites, as well as the physical effort required by women to transport distributed food (bags of rice). • Finding sustainable and affordable means to cook food rations is a mounting challenge, particularly in urban areas, with a clear need to replace charcoal and fuel wood with alternatives such as propane.

Nutrition

Main elements of response to date • Some 88 community outpatient care centres or mobile units for the treatment of severe acute malnutrition (SAM) are open or have re-opened throughout Haiti, while six mobile teams have reported they also offer the programme. An additional 81 static sites and six mobile facilities are planned in the affected area and IDP- receiving towns and villages. The Cluster has disseminated the locations of the health structures for referral of SAM cases (with or without complications) to the outpatient and inpatient sites within and outside of Port- au-Prince. • Some 398 children under five have been enrolled in targeted supplementary feeding programmes, and 131 children afflicted with SAM have been admitted to the outpatient care centres (as per nine reports out of 40 cluster partners). • 18 Infant and Young Child Feeding programmes are operating, many offering baby-friendly areas, counselling and feeding corners for mothers and infants. Some 41 more programmes are planned throughout the affected area. To date 7,828 caregivers have been given nutritional counselling through community mobilization and education, and 1,165 mothers and infants have participated in baby-friendly feeding tents within the camps in Port-au-Prince. Challenges and gaps in response • Using recent Centers for Disease Control (CDC) demographic ratios against the affected population in Haiti, including IDPs, a projected global acute malnutrition (GAM) caseload of 27,200 children under five could be used for interim planning purposes, of which 4,850 cases will be severe. There is insufficient information on elderly and disabled beneficiaries, which makes it difficult to estimate their needs. • Preliminary analysis along these lines indicates that the Nutrition Cluster partners must double service delivery to meet current needs. With current affected population figures the levels of planned nutrition response organized to date, and the level of funding received, the partners can respond to approximately 60% of the acute malnutrition treatment need.

Protection

Main elements of response to date • The Protection Cluster brought together civil society organizations and international organizations in order to ensure mutual understanding and a coordinated approach in responding to the protection concerns after the earthquake. The cluster is also working with other clusters, including food, shelter and CCCM, to ensure appropriate mainstreaming of protection throughout the humanitarian response. • Two provincial protection clusters have been reinforced in Jacmel and in Gonaives. • The Protection Cluster has worked closely with other clusters in the context of food distribution, shelter and camp management seeking to ensure that individuals and groups with special protection needs, such as children, women, the disabled and the elderly are given due consideration. • The Area of Responsibility (AOR, essentially a sub-Cluster) on prevention and response to gender-based violence (GBV) has started trainings for mobile teams to be deployed in the sites to provide support and counselling to survivor of GBV. In addition, the GBV AOR working group is working with the National Police and women’s organizations to reactivate the Concertation nationale contre les violences faites aux femmes. • 21 child protection organizations participating in the Child Protection AOR are currently reaching some 150,000 children in 24 communes. Currently, there are some 700 spaces available for these children, and the Government of Haiti will shortly assess and vet additional orphanages and interim care institutions with UNICEF support, and identify additional spaces. Unaccompanied children face extreme risks and vulnerability to violence, abuse and exploitation and require urgent attention. As of 12 February, UNICEF reports that 536 Child Protection Kits have been delivered to 228 sites reaching an estimated 12,867 children. Unaccompanied children face extreme risks and vulnerability to violence, abuse and exploitation and require urgent attention. • As the number of separated or unaccompanied children is significant, a phased approached to registration and provision of care arrangements is required, with children under five and the extremely vulnerable (such as disabled children) being prioritized. The overwhelmingly large numbers of urgent action child protection risks reported is greater than the current capacity to respond. Challenges and gaps in response • Additional main concerns identified so far include the need for large-scale psycho-social support; the

disparity of assistance provided to displaced people in visible sites and those in less accessible ones; security in and around the displaced settlements; and access to assistance for people with special protection needs, in particular older people and people with disabilities.

Agriculture

Main elements of response to date • The Agriculture Cluster’s first rapid assessments found that commercial suppliers of seeds, fertilizers and animal feed in the earthquake area have suffered damages or have stopped selling their products. This is causing a shortage of needed inputs before the beginning of the spring (March) planting season. • The Food and Agriculture Organization of the United Nations (FAO) undertook an aerial assessment of the Grand Goave and Léogâne areas, confirming significant destruction of farm houses (from 20% to 60%). In addition to losing their houses, it is assumed that farmers have also lost the tools, seeds and food reserves that were stored inside them. The European Union Civil Protection team in coordination with OCHA is undertaking field visits in the Grand Goave and Léogâne rural areas to complement the aerial assessment. • The Coordination Nationale de la Sécurité Alimentaire (National Coordination of Food Security [CNSA]) is monitoring the evolution of prices for the main food items through the food security network in the ten departments. • Catholic Relief Services (CRS) is conducting a rapid seed system assessment in the South Department over the next two weeks to ascertain whether seed is available and could be distributed through a seed fair and voucher system, or whether there is in fact a need for traditional seed aid. • Through its assessment group, the cluster is gathering data on the urban population that is migrating to rural areas, including areas of origin or areas that may provide other coping mechanisms. The initial data collected by Floresta indicates an average increase of 42% in the size of households in survey areas (Grand Goave / Léogâne 33%; Bainet 55%; and Fond Verettes-border 90%). Challenges and gaps in response • There is a gap of necessary resources in order to repair crucial agricultural infrastructures that will ensure a successful spring harvest from the March planting. FAO together with the Ministère de l’Agriculture des Ressources Naturelles et du Développement Rural (MARNDR) and the Agricultural Cluster actors is pleading for urgent assistance to increase the absorption capacity of the rural areas by increasing the incomes and opportunities generated. Projects such as cash for work for repairing main infrastructures are planned. Failure to reactivate agriculture in affected or spill-over areas will compound the negative effects on the ongoing humanitarian crisis.

Early Recovery

Main elements of response to date • Approximately 66,672 people have been employed under the UNDP cash-for-work programme, indirectly benefiting 333,360 people (on the basis of 5 persons per family). The programme is working to put 100,000 workers on street-clearing work as quickly as possible, ideally doubling that as conditions and funds allow. • The programme gives priority to: (i) women-headed households; (ii) heads of households; (iii) those with destroyed housing; (iv) households with a deceased family member. • Environmental and linked human health protection support activities have commenced, with early work focused on waste management and expanding to cover shelter, household energy, sanitation and food/cash for work programmes. • The Steering Committee for the United Nations Development Programme (UNDP) CfW programme (Ministry of Planning, DINEPA and UNDP) has approved 12 out of 14 CfW projects submitted by national and international NGOs (INGOs). Challenges and gaps in response • Preparation of PDNA with government and partners. • WFP has planned food-for-work (FFW) activities for 350,000 people to be put in place once the initial emergency phase with general food distribution is over. Exact modalities and coordination with the Early Recovery Cluster are pending. • The Early Recovery Cluster and UNICEF are also exploring the possibility of expanding CfW activities to cover education, protection, health, and water and sanitation. • The absence of a coordinating structure for engineering and infrastructure is causing a number of constraints to the relief programme. Work is ongoing but often poorly prioritized, and many engineering resources

remain underused or misdirected.

Education

Main elements of response to date • Schools (private and public) were supposed to have opened in non-affected areas on 1 February but according to most reports did not due to real or perceived fears regarding structural integrity of buildings and other concerns. This implies that some 2.9 million children are not attending classes, with commensurate effects on their schooling. • According to an initial audit by the Ministry of Education (MoE), some 2,500 to 4,600 schools were affected by the earthquake to varying degrees, including total destruction. These figures are pending further information from a planned assessment of three affected areas (including Port-au-Prince, other cities in West department and cities in South department) and seven non-affected departments with displaced populations. Challenges and gaps in response • The MoE is aiming to ensure re-opening of schools before the end of March in all areas – using temporary classrooms as an option for destroyed and damaged schools. There is the fear that if schools do not open by 31 March, the school year will be too short for full completion. As schools begin to open however, it will be difficult to monitor enrolment rates due to the lack of an effective monitoring and reporting mechanism for the sector. This is complicated by the fact that only about 20% of primary schools pre-crisis were public, and private facilities did not consistently engage with the formal sector. The MoE therefore has been unable to confirm gross and net enrolment rates for several years. Recovery and development partners are intent on enhancing the capacity of the MoE to expand education services and improve overall sector performance. • The Cluster is finalizing a supply plan for the coming two months which will include the distribution of tents, teaching and learning materials, and basic school equipment. It will also include a package for children returning and accessing school for the first time. • UNICEF initial estimate is to reach 500,000 children with school-based supplies and equipment, and a total of 720,000 children with individual kits.

Logistics and Emergency Telecommunications

Main elements of response to date • Logistics Cluster Coordination: establishment of two cells on 14 January in Port-au-Prince and Santo Domingo, regular coordination meetings gathering some 150 organizations. • Staging areas and transit hubs: two main staging areas in Santo Domingo and Port-au-Prince airports. Transit hubs with warehouses established and used by some 20 organizations so far (Santo Domingo airport (5,500 m2), Caucedo terminal at Santo Domingo seaport, Barahona & Port-au-Prince (6,700 m2), Jacmel, Petit Goave, Jimani / Malpasse). • Surface transport: 85 trucks and 30 vehicles transported so far 6,737 m3 of relief items and 1,400m2 from Santo Domingo to Haiti. In Haiti, 45 trucks managed by Handicap International (HI) / Atlas Logistique as well as 50 contracted trucks transported 3,199 m3 (531 MTs) of relief items for 43 humanitarian organizations • Shipping: two vessels with own derricks for containers and/or roll-on-roll-off capabilities are operational for deliveries to inaccessible coastal areas. Floating docks are being established at the Port-au-Prince port and are expected to raise capacity to a possible 1,500 containers a day. • Air operations: two passenger aircraft transport essential staff in and out of Port-au-Prince twice a day (2,200 passengers for 180 different organizations transported to date). Since 30 January, WFP is managing three heavy-lift helicopters and three fixed-wing aircraft out of Santo Domingo for cargo deliveries into Haiti. An Antonov-12 is available for regional charters on a cost-recovery basis. • Customs and border crossing: facilitation and coordination with the authorities at Jimaní / Malpasse border crossing point and negotiation of a six-month exemption of customs taxes for all relief cargo in transit for Haiti arriving in Dominican Republic. • A civil-military liaison structure has been put in place by the Logistics Cluster to liaise with MINUSTAH and international military entities in Port-au-Prince to coordinate the use of logistics assets (establishment of direct lines of communication, tasking procedures for US and Canadian Military assets, creation of a coordination platform between WFP, the US Air Force and MINUSTAH to facilitate the arrival of incoming humanitarian flights). • Emergency Telecommunications Cluster (ETC) coordination: establishment of local ETC working groups in Port-au-Prince and Santo Domingo and regular meetings have been held since 13 January, with broad

participation of UN and NGOs. • A reliable very high frequency (VHF) and high frequency (HF) radio network that operates independently from the public infrastructure has been established and provides broad security communications coverage in across the country. The network currently has radio rooms in Port-au-Prince, Jacmel, Gonaives and Cap Haitien that are operational 24/7 and is being used by more than 1,000 UN and NGO workers. • The ETC response team was deployed within 24 hours of the earthquake, and in cooperation with MINUSTAH has provided and continuously improved connectivity for voice, data, and Internet to the entire humanitarian community. This includes Internet cafés and the installation of major Very Small Aperture Terminal (VSAT) and wireless communications systems that provide comprehensive information technology (IT) services across the Logs Base Camp and living quarters and offices in Camp Charlie. The ETC Cluster has also installed a VSAT and wireless network in Jacmel which provides inter-agency communications services, plus similar installations in Gonaives and Cap Haitien. Challenges and gaps in response • As constraints stemming from congestion at entry points, access to remote areas around Port-au-Prince, and security concerns around safe transport and distribution of relief items are gradually addressed, the main concern for the moment is the prioritization of incoming goods by cluster leads to ensure that the right material is delivered on time.

Phuong Tran_Jacmel distribution

3. NEEDS ANALYSIS

3.1 Pre-existing situation and underlying risk and vulnerability Already before the 12 January earthquake, Haiti had the unenviable status of being the least developed country in the western hemisphere, characterized by widespread poverty and unemployment, lack of access to acceptable and affordable food or to basic social services, a number of human rights challenges and ongoing environmental degradation. Maternal mortality was at 670 per 100,000 live births, with under-five mortality registered at 83 and 77 per 1,000 for male and female children respectively, indicators symptomatic of a poorly functioning health system.

Over 60% of the total population of Haiti lives in rural areas. 70% of the population live on less than $2 per day and 56% on less than $1 per day. The ratio of female to male earned income is 0.37 (UNDP HDR 2009). More than 65% of people are engaged primarily in agriculture, although the sector accounts for less than 25% of gross domestic product. The sector is characterized by low productivity, resulting from a combination of poor technology and poor agricultural practices, limited access to high quality seeds, very low levels of irrigated agriculture, high levels of environmental degradation and poor soil quality resulting primarily from heavy deforestation and poor watershed management, and extreme vulnerability to natural disasters, most commonly hurricanes.

Haiti is heavily food-deficit: over 50% of food consumed in the country is imported and a further 5% is derived from food aid and assistance. Moreover, it is estimated that over 40% of the population are chronically malnourished and hungry. Nationally, it is estimated that over 50% of household expenditure is directed at food items, with higher percentages for poorer households in rural areas. Before the earthquake, 1.8 million people were receiving food assistance.

The country is regularly struck by natural disasters, particularly flooding (riverine flooding, flash floods or coastal flooding associated with tropical storms and hurricanes), mudslides and storm surges, and hurricanes. All of these damage already weak critical infrastructure and ruin livelihoods and food stocks. Despite there being a ‘National Plan of Risk and Disaster Management’ (developed in 2004), there was little investment in disaster risk reduction, preparedness for the impacts of these events, or capacity to absorb the inevitable shocks. Humanitarian need is thus in many ways a generalized and chronic phenomenon in the country, pockets of which the earthquake has rendered more acute.

The economic context was therefore one of widespread severe poverty, linked in turn to an environmental context of badly depleted resources, most importantly topsoil, making most rural livelihoods unproductive and precarious. The vulnerability that prevailed in Haiti’s population before the earthquake make it certain that community capacities and coping strategies will not suffice to avert continued mortality, morbidity and living without dignity among earthquake-affected people (including those who host displaced residents of damaged areas).

The human rights situation in Haiti was precarious, with a range of issues posing a threat to individual rights and national stability.4 GBV, particularly against women and girls, was a major problem: 27% of women have been reported to be victims of some type of physical violence in Haiti. Children were particularly vulnerable to exploitation and abuse relating to criminal gangs, trafficking for sexual and other economic exploitation, and domestic service. Social safety nets were reportedly largely non- existent and most basic services were run by private actors. Governance was weak at many levels, and the Government’s capacity was moreover directly impaired by the earthquake damage. Critically, identification systems were poor: many people had no formal identification document, and birth and death registries were incomplete, making the task of pinpointing a more precise casualty figure very difficult.

4 See for instance the Report of the Secretary General on the United Nations Stabilization Mission in Haiti, 1 September 2009, S/2009/439.

Despite high levels of disaster risk in Haiti and reference to earthquake risk in the 2004 Poverty Reduction Strategy, no contingency planning foresaw an earthquake of this magnitude that would all but destroy the capital city, and simultaneously incapacitate the Government and the UN mission in country to the extent that it did, as well as constricting flows of assistance for three million people to what could be handled by Port-au-Prince’s single runway and an arduous road trip from the Dominican Republic. As many people have said, all the contingency planning that was done never envisaged the Government, the UN, the Haitian Red Cross and the Red Cross and Red Crescent Movement, and NGOs being themselves the victims of the disasters they had planned to handle.

3.2 Socio-economic profile and location of earthquake-affected people The emergency has evolved in a variety of ways, only some of which could have been predicted. The displacement of people out of Port-au-Prince, whilst certainly decongesting the devastated capital, has contributed to increasing vulnerability in an already desperately poor country requiring the attention and resources of an over-stretched Government and aid community. According to the government, some 511,405 people have moved themselves from Port-au-Prince to outlying areas, some 162,500 of whom are now staying in Artibonite department, and with the departments of South, Grand Anse, Nippes and Central Plateau witnessing a 15 to 20% increase in the number of recent arrivals.

Prior to the earthquake, there were two general types of settlement and building: formal neighbourhoods, such as Petionville, and informal settlements mostly inhabited by migrants and newcomers to the city and which were overcrowded and insalubrious. Ironically, many of the neighbourhoods which suffered the most in the earthquake were not Port-au-Prince’s poorest. This was doubtless due to the fact that the accommodation in most of these poorer areas was of light design – corrugated roofs, plastic sheeting, and wood – whilst construction in the business, governmental, and more affluent neighbourhoods was of concrete and brick, very little of which was built to resist earthquakes, and much of which collapsed. Where the poorer and slum areas did fare very badly was along the ravines and hillsides.

The earthquake cut across all social and economic divisions, and there is currently no reliable disaggregation of the number of casualties. Current estimates use a 50/50 split between men and women. Socio-economic activities in the damaged areas covered a full spectrum. In rural areas, the activity is predominantly subsistence farming, with farmers growing a small surplus for sale. These communities, already very poor and vulnerable to the annual cycle of flooding, now have to deal with an influx of people from the damaged cities.

In the Haitian communities along the border with the Dominican Republic, in an already very vulnerable area, the arrival of displaced people has increased the population by around 15%. Assessments by MINUSTAH indicate that up to 90% of the displaced people who have arrived in this area, are currently living with host families – whether relatives or other families. This influx towards rural areas has led to an increase in the local prices of basic commodities, such as rice, oil and sugar and has added pressure to already over-stretched infrastructure and services in this area, including primary health care and hospitals. It has also required mounting an increasingly large and complex support operation run from the Dominican Republic (see below).

3.3 Current situation In a crisis of this size, with problems and needs apparently everywhere at every time, it can be difficult to attempt to establish some form of priority in the response, and to draw boundaries to humanitarian action, especially in the Haitian context. However, some boundaries are emerging, which relate closely to a series of imminent critical thresholds that require a mix of short- and medium-term planning in several key clusters (see Section 4.2.1). The immediate post-earthquake emergency has generally stabilized, in the sense that aid flows are beginning in most areas to scale up to needs, though millions of people will depend on such aid for months to come, particularly the displaced.

However that stability will be threatened soon by the arrival of the rainy and hurricane seasons: there is now a clear window before the start of the rains in which to make progress on responding to the urgent humanitarian needs of the affected population, and in implementing time-critical early recovery activities such as agricultural assistance to rural and host communities, many of which are now faced with the difficulties of caring for hundred of thousands of displaced people.

In the time remaining before the start of the rains in April, and the hurricane season in June, a further series of steps is needed, with increasing emphasis on time-critical early recovery as part of the response to the earthquake, along with disaster risk reduction and preparedness activities to mitigate the expected impact of the rains, landslides and flooding. Effort needs to be made to complete as much clean-up of the city as possible, to restore some Government capacity allowing it to manage more of the response, to take key preparedness activities such as the establishment of more durable shelter solutions and early warning systems in contingency planning, and to manage the transition from emergency assistance to recovery and reconstruction (or, in many senses, the simultaneous implementation of both).

With regards to the current emergency phase, there is a clear delimitation of priority needs for humanitarian assistance at this stage of the response, which are: • Shelter and camp management: with only a short window remaining before the beginning of the rainy season • WASH: in particular sanitation and drinking water, and health, in particular primary health care; • Food security, food aid, nutritional and agricultural support: with an increasing emphasis on a movement to food-for-work, cash as a complement of food aid, and to supporting rural and host communities to which IDPs have moved • Nutrition security: with emphasis on protecting infant and young child feeding and intervening to prevent deterioration of children’s nutritional status and to treat malnourished children • Solid waste management combined with emergency support to livelihoods: through CfW and rubble removal, allowing for return and some reconstruction • Protection: with IDPs, women, children and other vulnerable people with special protection needs at heightened risk of various forms of exploitation, neglect and abuse • Education activities: emphasizing psycho-social support and limiting disruption to learning by rapidly opening temporary schools • Logistics and emergency telecommunications: remain overarching priorities to support the ability of the humanitarian community to deliver relief aid in an efficient and timely manner to the affected populations.

In the context of Haiti, there are strong interlinkages among these clusters, to the extent that a lack of coordination or funding in one will impair the others. A very clear example comes from the need for rubble removal: without the removal of debris it becomes much harder to assess structures and neighbourhoods for potential return, meaning displaced people remain in overcrowded camps, requiring increased shelter, WASH and health support.

Probably the most pressing need at this time is to shelter and house over one million people before the start of the rains around April. The national shelter need for those affected by the earthquake is estimated to be between 900,000 to 1,100,000 people.5 For planning purposes, this has been broken down into 15% with host families (135 – 165,000 people), 10% non-displaced on damaged homesteads (90 – 110,000 people), 65% in self-settled transitional settlements in urban locations close to their original homes (585 – 715,000 people) and 10% in planned settlements outside of the capital on new sites (90 – 110,000 people). To respond to the shelter needs, a two-phase plan has

5 This figure is based on the latest government figures for total population displaced outside of the capital, plus an extrapolated estimate for the total population living in self-settled transitional sites using an assessment of 300 sites from a total of 600 (containing 940,000 people) undertaken by the Shelter Cluster, an initial rapid count in two locations in Port-au-Prince of families who are non-displaced, and a nominal figure for those with host families which is based on an estimation that 50% of those who left the city found accommodation. The figure for planned camps is based on the government’s statement to the Shelter Cluster on 23 January 2010 that they do not plan to relocate more than 10% of those affected in urban areas to new sites out of town (110,000 people). The range reflects a 10-20% error factor. These figures are under constant review as more information comes in, but represents the consensus view of all the clusters. Guiding Principles for the Emergency and Transitional Shelter and Settlement Strategy in Support of the Government of Haiti (v5 28 January 2010).

been developed by the Shelter Cluster in coordination with the Government, diagrammed below.

Summary of the response Summary of the planned response for displaced populations for non-displaced populations Rural self- Urban self- Host families Planned and Owners Tenants settlement settlement self-settled camps

Phase 1 Shelter within three months, before the hurricane season Tarpaulins Phase 1 transitional shelter – tarpaulins, rope with rope when available Priority given to displaced Tents Household support items and cook sets Unsafe structures Household Tents for prioritized groups demolished support items Public information Public information and cook sets Phase 2 Full transitional shelter within 12 months Phase 2 transitional shelter: roof of corrugated metal sheeting, Self-help frame of timber or steel Phased Relocation Support provided through carpenters, public information campaigns, materials assistance and technical advice over seismic and hurricane resistance distribution Rent Cash, vouchers and additional materials distribution will also be Technical assistance considered advice

Durable housing in less vulnerable locations, built back safer

Source: Shelter/NFI Cluster, Haiti Earthquake Emergency Response, Distribution Update, 6 February 2010

A list of all spontaneous settlements has been compiled by the CCCM Cluster, which so far contains 334 sites, occupied by 500,260 people (97,659 families). The overwhelming majority of these sites are in Port-au-Prince. 18 of these sites have a population of more than 5,000 people each and are therefore being prioritized for interventions. With hundreds of thousands of people living in these self- settled areas, plus a variety of settings from private gardens to pavements, alone or in groups, situations of generalized poor sanitation are developing, or risk doing so. Adequate sanitation and water facilities are critical in staving off the spread of communicable diseases, and maintaining the overall health of the population, but at the moment it is clear that the capacity to meet minimum international standards is not there, and no quick and easy solution presents itself.

By Sphere standards there should be one latrine per 20 affected people; though the WASH Cluster has agreed on a target of 1 latrine/50 people. Even this target is currently far from being met. WASH Cluster partners and the Government are limited in terms of where latrines can and cannot be placed, as land rights and land use issues have to be dealt with, and the high water table prevents digging of pit latrines in many locations. Some municipalities will not allow the digging of latrines, particularly in central areas, so alternatives, such as latrines outside the camps so as to ease congestion, will have to be found, and found quickly. Sanitation and vector control is now becoming a major concern in many of the spontaneous settlements, which lack proper site planning.

The health risks are linked to those posed by the WASH situation, but also to the disruption of health services, loss of life of health personal and to precarious living conditions of hundreds of thousand of people living in crowded temporary shelters. The rainy season shortly coming is also likely to have impact on health situation of those displaced who will remain accommodated precariously during months. According to the Health Cluster, there are 91 identified functioning hospitals; 59 are in the Port-au-Prince metropolitan area (four public hospitals, 34 NGO or privately-run hospitals and 21 field

hospitals). Fifty-six of the 59 facilities in Port-au-Prince have surgical capacity. A database of hospitals is being created and will include information on essential drugs provided by PROMESS, the number of beds, medical specialities, the type and quantity of medical human resources, and the number of consultations. According to the Government, the most urgent immediate medical needs imposed by the earthquake (trauma injuries and ensuing care) have now passed.

The priorities now are to provide sustained basic health services and psycho-social support to the inhabitants of the self-settled sites, within which diarrhoea is now a rising concern, together with providing primary medical care to the whole affected population (including conducting epidemiological tracking of morbidity and mortality rates in the earthquake-affected areas), and specialised care to those requiring it, including post-operative care and rehabilitation services. For example it is estimated that of the three million total affected population, 63,000 are pregnant women, of whom 15% (9,450 women) will require care for life-threatening pregnancy complications, and in particular access to emergency obstetric care. Additionally, rehabilitative services for several thousand amputees, both paediatric and adult, will be needed. Many of these will need at least one corrective surgery to optimize patients for fitting of appropriate prostheses. Child amputees will need multiple refitting during the growth years.

The members of the Food Aid Cluster have been coordinating and mobilizing to meet the immediate needs of the most vulnerable people, and beginning to formulate strategies on how best to address food assistance responses in the periods that follow the current emergency food distribution surge. In addition, the Rapid Emergency Food Security Assessment (EFSA) is being conducted by the CNSA, Action Contre la Faim (ACF), FEWS-Net, Oxfam, FAO and WFP. In eight days, the EFSA teams will cover 119 areas, villages and camps in the earthquake-affected areas to map out the needs of the population. Results are expected the last week of February.

The earthquake has significantly disrupted nutrition services and practices, dramatically increasing food insecurity and, consequently, placing very large numbers of infants, young children, pregnant and lactating women and other population groups (elderly, disabled and injured) at increased risk of mortality and malnutrition, particularly acute malnutrition and micronutrient deficiencies. Prior to this current crisis, chronic malnutrition in children under-five (stunting) was estimated at 32%, GAM prevalence was 4.5% of which 0.8% of under-fives were severely acutely malnourished and 60% of children (6 to 59 months) suffered from anaemia. In addition, the prevalence of low birth weight was estimated at 25%, a strong indication of poor maternal nutritional status; 46% of women (15 to 49 years) suffered from anaemia. Whilst breast feeding was widely practiced, the rate of exclusive breast feeding was estimated at 46%.

The need for nutrition coordination is highly evident to ensure all implementing agencies, in tandem with the Government, are assessing and meeting nutrition priority needs to avert further loss of life and ensure the nutritional requirements of vulnerable groups are being met. There is urgent need to scale up therapeutic management of severely malnourished children, supplementary feeding for moderately acutely malnourished children, infant and young child feeding promotion and support, and nutrition support for pregnant and lactating mothers.

Assessment by the Agriculture Cluster has identified a range of direct and indirect damage to the agriculture sector. Housing, irrigation systems, and tools were lost or damaged, but by far the greatest impact of the earthquake on the agriculture sector resulted from indirect effects. The greatest of these indirect effects is displacement, which is placing significant stress on the livelihoods of host communities and families, leading to extreme coping strategies including the consumption of food reserves, eating seeds, use of household cash savings and assets stripping. This, in turn, is putting strains on the ability of households to purchase inputs for the next cropping season, creating the potential for a vicious circle of reduced food production, reduced cash income and increased food insecurity. The second of the indirect effects, and the one with potentially the longest-term impact, is the collapse of agricultural input and output markets.

Field work by Agricultural Cluster partners indicates declines in farm gate prices, ranging from 10 to 30% in the three weeks after the earthquake, and a significant decline in demand (ranging from 20 to 40%). The assessments pointed to a range of factors driving the decline in demand. First and foremost, the number of people in Port-au-Prince and their purchasing power has been significantly reduced since the earthquake. Secondly, the earthquake has led to a liquidity crisis. Thirdly, given the availability of food aid assistance in urban areas, people are looking to invest in asset recovery and are reducing food purchases. Damage to small feeder roads, reduced availability of transport and increased transportation costs, and damage to market intermediaries’ equipment have further limited access to markets. Without immediate targeted and time-critical support, there is a significant risk of substantial reduction in food production and consequent risks for food security. The Agriculture Cluster has identified a series of needs and related possible response options, namely immediate support to food production for 120,000 rural and 100,000 urban families, income generation and diversification, and strengthened agricultural and food security coordination.

The Government has estimated that approximately 1.7 million people have been displaced by this crisis. Displacement heightens vulnerabilities and raises risks of further abuse – people have not only lost their homes and possessions, but also their livelihoods, and the family and social networks from which they would normally receive some support. Pre-existing protection concerns have been exacerbated by the new crisis. Additional priority protection issues, including security around the settlements and access to assistance for vulnerable groups, in particular older people and people with disabilities, have been identified. The self-settled sites make little or no allowance for the needs of particular vulnerable groups, such as women, children, older people, and those suffering from chronic illnesses such as HIV/AIDS or disabilities. The earthquake has left many children orphans, meaning that they plus groups such as women-headed households are more susceptible to discrimination and exploitation. In the aftermath of the earthquake, many networks of women's organizations and service providers, including the Concertation Nationale contre les Violences Faites aux Femmes (the national body responsible for addressing issues related to GBV), have found themselves grappling with the loss of colleagues, and buildings or structures from which to work. This impact on the Government and on other Haitian institutions has severely hampered the national capacity to address GBV and other protection issues in Haiti.

The total number of children and youth under the age of 18 directly and indirectly affected by the earthquake is estimated to be 1.26 million, including an estimated 450,000 children who have been displaced. Within that total number, approximately 700,000 are primary-school-age children between 6 to 12 years old. The number of schools destroyed, damaged or otherwise affected by the disaster is thought to be between 3,500 and 4,600. Large numbers of teachers and other education personnel have been killed and injured in the earthquake and suffered severe losses. Although the school term was supposed to have started on 1 February in the unaffected areas, it has proven difficult if not impossible to resume schooling anywhere. For example, schools along the border area are reported not to have opened because of doubts about their structural integrity.

Despite the activation of a fully functioning cluster structure for the coordination of organizations involved in the relief response, as with other large-scale emergencies, uncoordinated donations of all types of aid continue to arrive in the Dominican Republic and Haiti. In order for humanitarian aid to be of the most benefit to affected populations, donations should be well planned with national authorities and the humanitarian community coordinating the relief effort and fully compliant with national requirements for the importation of goods. Relief cargo that lacks documentation and adequate planning for onward delivery may impair the relief effort by taking up scarce resources such as aircraft landing slots or storage space, and can place an additional logistics burden on organizations working on the ground. Within the context of the Haiti earthquake response, the Logistics Cluster, in coordination with all clusters in country has drafted guidance outlining practical measures that can be taken to avoid the build-up of donations that lack an identified recipient entity, planned onward delivery, and identification of content.6

6 Click this link to view a Logistics Cluster guidance note meant to ensure that humanitarian aid is of the most benefit to affected

Operations coordinated through the Dominican Republic Due to the unprecedented destruction of basic infrastructure and disruption of public services as well as the impact on the capacities of international actors present in Haiti, the Dominican Republic has become the main entry point for the relief operations. A staging area was established within days of the earthquake with an alternate supply corridor with augmented logistics capacity to receive humanitarian aid in the Dominican Republic and transport it to Haiti by air, road and sea. WFP, in its role as Logistics Cluster lead, is providing coordinated logistics services to support the ability of the humanitarian community to deliver assistance to the affected populations. This includes the set-up of seven transit hubs, multiple storage facilities, a hundred dedicated trucks, two coastal vessels, a fleet of seven aircraft for cargo and passengers, customs facilitation and cargo handling / consolidation / tracking. All these services are currently available at no cost to all humanitarian actors.

In view of the arrival of wounded and other affected people from Port-au-Prince into border provinces and the logistics challenges to provide assistance and protection in remote areas, there is an understanding that relief operations in the immediate border area (within a stretch of 20km into Haitian territory) will be supported by actors based in the Dominican Republic. The coordination arrangements of humanitarian actors in the Dominican Republic have been structured to mirror the clusters operating in Haiti. Prioritization of activities will be undertaken in close cooperation with the humanitarian partners in Haiti. Following the influx of affected people who are seeking assistance and protection, there is a need to improve or establish basic services in provinces on each side of the border and some urban areas of the Dominican Republic receiving these people. In order to mitigate spill-over effects to vulnerable populations in the Dominican Republic, monitoring and relevant assistance need to be done.

Given the topography and the high level of deforestation, the Haiti border area is particularly vulnerable to floods and other meteorological, hydrological and climate-related hazards. The humanitarian community is seriously concerned about the danger represented by the upcoming rainy and hurricane season due to start in a few months. Therefore, contingency planning needs to be done in order to ensure that additional humanitarian needs can be averted or responded to. It is advisable to strengthen the national preparedness and response structures in the Dominican Republic in order to ensure effective humanitarian response at both national and international level in case of further calamities.

Despite their limited resources, the local communities living on the Dominican side of the border, and particularly the health services, have provided some assistance to the recently arrived Haitian population, especially with medical care. The arrival of many wounded patients and their families, has seriously stretched the resources and capacities in these locations. It is therefore critical that they continue to be supported by the international community.

3.4 Looking forward Nearly all people affected by the earthquake will need the kinds of aid outlined above, and detailed in the following response plans. A significant portion of the affected population will require the full range of multi-sectoral assistance to avert threats to their life, health, safety and dignity. That said, the affected population is not a homogenous group, and as such sectoral responses will need to take into consideration the different needs, vulnerabilities and capacities of diverse groups of people, including the most vulnerable (i.e. single-headed impoverished households, people with injuries/disabilities, people living with HIV/AIDS, separated children and youth, etc) when assessing needs and planning and implementing response. Furthermore, Haitians affected by the crisis, who have until now shown quite remarkable levels of resilience, will devise unforeseen coping strategies to address the challenges that lay ahead. Aid efforts should not be blind to these, and should tap into and build on populations, and that the intentions of the international community to assist those in need are fully realized: http://www.logcluster.org/ops/hti10a/briefing-unsolicited-donations.

these capacities, in the interest of delivering more targeted, effective and sustainable humanitarian and recovery.

The displacement of people across the countryside risks exacerbating their already vulnerable situation, and that of their host communities. Assessments suggest that poor families with little resilience have been displaced away from earthquake-affected urban and rural areas, often abandoning crops, and are now being hosted by poor, vulnerable and food-insecure households – many of whom are already at risk from the potential impacts of the hurricane season – in rural areas. Food security, water and sanitation, and other livelihood support programmes will need to be put in place quickly to ensure, amongst other things, a sufficient food supply in the coming weeks and months. The situation of Haitian communities along the border with the Dominican Republic is even more disastrous as the communities already were the poorest in Haiti before the earthquake.

At the same time as host communities have to accommodate large numbers of displaced people, these predominately rural communities are facing a decline in the demand for their produce and goods. The additional risk is that if these communities are not supported, and there is excessive focus on the needs in and around the earthquake-affected areas, displaced people will return in search of assistance, thereby putting renewed pressure on damaged infrastructure and scare resources. This highlights even more the importance of early recovery beginning now, during this period of emergency intervention, injecting cash into the economy of the most vulnerable families as an effective and indispensable component of a response to a crisis, influencing and kick-starting street cleaning, removal of rubble and other solid waste management, and providing direct support to national institutions to lead and coordinate the recovery process. Early recovery interventions thus have the capacity to help stabilize the situation, prevent further deterioration of local capacity, and foreshorten the need for humanitarian assistance.

The current thinking on eventual reconstruction of damaged neighbourhoods is that, because they were originally so overcrowded, it is neither possible nor advisable to rebuild them in the same way. This calls for an integrated approach of reconstruction, but also of migration of people away from Port-au-Prince to other areas or cities with absorption capacity. This would require incentives such as employment, transport, schooling and health facilities to draw people away from Port-au-Prince. It is necessary to ensure more appropriate planning to support the basic services necessary for communities, access to livelihoods, and other infrastructure required to re-build their lives. Key in building back a better community is to provide the affected populations with choice, including options to re-settle outside of Port-au-Prince. Facilitating these choices would require provision of basic services, transportation, livelihood opportunities to urban and rural areas outside the capital.

The challenge of environment within the relief programme is twofold. First of all, the environmental baseline before the earthquake was extremely poor: Haiti is the most environmentally damaged country in the Northern Hemisphere. Deforestation is near complete, soil erosion and depletion is intense and urban environmental issues (crowding, waste, sanitation, pollution) were problematic. As a result, Haiti was in continued food and energy deficit and was highly vulnerable to flooding of damaged river catchments. The problem had become international with the Dominican Republic being forced to defend its borderland forests and parkers from illegal Haitian timber cutters and charcoal makers and was also tightly linked to the noted urban congestion problem – many of the recently arrived and poorest city dwellers were farmers searching for alternative livelihoods.

Secondly, international experience (Southeast Asia, Darfur) shows that a multi-billion dollar relief programme such as is starting up in Haiti will have significant environmental consequences unless this is foreseen and mitigated. These consequences then affect Haiti for the long term, further adding to the burden of recovery. A rapid environmental assessment conducted in Haiti the first week after 12 January foresaw the following issues: an explosion in the volume of debris; healthcare-generated other and municipal waste; intense environmental health issues in camps; a jump in legal and illegal deforestation to supply charcoal and construction; potential water shortages due to degraded catchments; and missed opportunities in energy and waste reduction through the importation and use

of unsuitable and obsolete materials.

It is a feature of environmental issues that they cut across sectoral and cluster boundaries, so the solutions must be cross-cutting as well. The clear need and the challenge is to assess and map out the these multiple complex issues and then apply integrated solutions. This will require more than technical tuning – it will require centralised coordination and real investments in environmental protection to be integrated into many different clusters and sectors.

A final challenge is that the earthquake threat is not past: aftershocks are predicted to continue for many months and the very latest input from scientists indicates the risk of a further major (7.0 or stronger) earthquake focused on the Port-au-Prince region to be 4% within the next two years. The region west of Miragoâne is exposed to a similar level of risk. This severe background risk has an affect on virtually all aspects of relief and recovery: it leaves two million people vulnerable in unsuitable and unsafe buildings, threatens the safety of the relief community, changes the risk balance and strategy on shelter, and will radically affect recovery planning.

3.5 The PDNA and Early Recovery in the Revised Flash Appeal: articulation between humanitarian response and recovery frameworks The early recovery focus of this revised Appeal is significant. The immediate humanitarian response planned in the initial Flash Appeal already included time-critical urban livelihoods support to affected communities through labour-intensive activities, street cleaning and small rubble removal, support to the restoration of delivery of basic services and support to national authorities. Throughout the cluster response plans, early recovery-focused interventions represented approximately 20% of the financial requirements.

Phuong Tran – Engineers still need to survey unsafe structures and demolish The scope of the early recovery them focus is now being broadened across the spectrum of humanitarian clusters’ strategies. The early recovery inter-cluster focus, along with critical disaster risk reduction interventions, concentrates on what can make a difference for affected communities within the 12-month timeframe of this revised Flash Appeal. A set of clear priorities representing opportunities for immediate recovery ought to be carefully designed and implemented to avoid creating aid dependence and distorting or overshadowing economic markets and social patterns whilst at the same time being foundational enough to then be sustained within broader reconstruction planning.

1. Shelter: how to help affected families and people get a roof back or a safe enough shelter in the short term to get through the coming months and the rainy season? Activities coordinated by the CCCM and the Shelter / NFIs Clusters in particular aim at providing transitional shelter options with two objectives: firstly, to offer alternatives to over congested camps, and secondly to prepare evacuation sites. 2. Economic recovery and livelihoods support: how to obtain a level of economic support that allows affected households to obtain food and essential goods, or restart small business to rapidly restore some level of self-sufficiency? The Early Recovery Cluster’s strategy in particular looks at creating immediate cash support (CfW interventions).

3. Basic services: how to support the rapid restoration of the delivery of and access to quality, gender-sensitive health, education and social services? The Education, Health, Nutrition, and Protection Clusters in particular are working on targeted assistance to either directly restore these services or help national and municipal authorities do so. 4. Host communities: how to support those communities hosting the displaced population from cities, including the worst-hit ones of Port-au-Prince, Gressier, Léogâne and Jacmel, with economic and social support to cope with the additional burden, for instance in rural areas and along the border with the Dominican Republic? The Agriculture, Early Recovery, and Education Clusters in particular are working to support those communities and local authorities throughout Haiti. 5. Small infrastructure, emergency rubble management and disaster preparedness: how to manage the rubble of collapsed buildings, further assess those buildings still standing, to continue cleaning debris from the streets, to clear the surface water drainage system not only in the long run, but also with an immediate imperative to mitigate the risks and prepare for the upcoming rainy / hurricane season and their associated risks of flooding, mudslides and storm surges and at the same time protect the human rights of the affected people? The Shelter, WASH, Early Recovery, and Protection Clusters are focusing on providing technical advice and direct interventions. 6. National capacity support: how to best support national authorities and Haitian communities to regain capacity and reinforce their leadership throughout the humanitarian and recovery response process? The vast majority of the cluster response strategies include a capacity support or building component, including the installation of management and ownership transfer systems from the international community capacity to the national one as quickly as possible.

Links between the Revised Humanitarian Appeal and the Recovery Framework The humanitarian response to the earthquake in Haiti is the first step of a broader and longer-term recovery framework and reconstruction process, starting on the day the earthquake struck on 12 January. Early in the process, humanitarian priorities (relief and early recovery) based on rapid- and multi-sectoral assessments are articulated in the Appeal for the mobilization of resources towards life- saving and time-critical activities. The early recovery strategic interventions of the Appeal appearing in each cluster’s response plan together represent the first iteration of a recovery framework, incorporating activities that pave the way for sustainable recovery and longer-term reconstruction (see graph below).

The next step in the recovery and reconstruction process involves the ER in PDNA/RF Process definition of a Recovery Framework through a comprehensive PDNA. The PDNA is a Government-led Damage / Losses exercise that pulls together information on the impacts of a disaster from a broad range of sectors, cross-cutting themes and Human Recovery Early Recovery Priorities in Humanitarian perspectives into one Appeal comprehensive report. It draws on and builds on the information Short term Med. term Long term collected through the same rapid assessments used for the Appeal, combining it with complementary information on the value of the damages and losses as well as the crisis-related human development needs among affected populations.

The Government of Haiti has requested that an initial, consolidated PDNA report is completed in time for the proposed donor meeting in March or April 2010 (date to be confirmed). A more comprehensive assessment report will follow shortly after, allowing for strategic analysis in the lead-up to the Appeal’s Mid-Year Review (MYR) to determine what should remain in the 12-month humanitarian appeal and what should be transferred under the umbrella of the PDNA / Recovery Framework. Needs identified by the PDNA beyond national capacity may be used as an evidence base for the mobilization of further international resources in support of recovery.

4. THE 2010 COMMON HUMANITARIAN ACTION PLAN

4.1 Scenarios The purpose of identifying the most likely scenario is to ensure that the response plan looks beyond current snapshots and bases its strategy on the most likely trajectory, allowing for the situation’s likely evolution plus potential disruptions.

Most likely scenario Haiti will remain in need of sustained humanitarian assistance for the next 12 months, at a minimum. The normalization of Haitians’ life will largely depend on the ability of those rendered homeless to obtain durable shelter before the rainy and hurricane season, and to restore destroyed opportunities, food production and income opportunities. International humanitarian assistance will be generous, but will not be enough to cover all assessed needs, and may suffer from uneven allocation of funding across organizations and clusters. The earthquake’s effects can be classified into two broad categories: direct effects through the destruction of houses, death of relatives, and destruction of jobs and livelihoods, and indirect or spill-over effects, such as the burden of caring for displaced or injured relatives, or those now suffering from permanent disabilities (amputees). Whilst many Haitians will be able to find more durable shelter before the rainy season, the impact of the hurricane season and its associated risks of flooding, mudslides and storm surges remain uncertain but is likely to be severe.

Core elements Effects on humanitarian needs and aid operations • Slowness in repair, reconstruction, • 1,000,000 people require emergency or alternative shelter and provision of alternative shelter, solutions, approximately 65% of whom are in self-settled sites prompting renewed displacement. close to their homes. • Displaced and homeless populations exposed to further displacement and suffering. • Renewed population displacement as a result of natural disasters or conflict, including to the border areas with the Dominican Republic. • Continuing need to assist the Government of the Dominican Republic in receiving and assisting people crossing the international border. • Conflict over land and resources between displaced and host communities. • Durable solutions for the long-term displaced are challenging, requiring a participatory approach to determine the most appropriate solutions (local integration, settlement elsewhere in the country). • Much infrastructure remains • Some social services, including local government, hospitals inoperable in earthquake-affected and schools, are only able to function in difficult and areas remains significant, and a challenging circumstances. hazard to the population’s lives and • Hospitals and schools require additional support to provide the livelihoods and to the resumption of needed services. basic services. • Worsening of condition of damaged buildings. • Slowness in rubble and debris removal. • Continuing difficulties in providing • Some resurgence of communicable diseases due to WASH services to affected population, interruption of health services, water and sanitation. particularly populations in self-settled • Increase in mortality and morbidity, including effects on sites. nutrition and livelihoods. • Crop failure. • A worsening in the overall health of the population from the • Loss of income. impact of multiple shocks (food insecurity, malnutrition, price • Increased presence of displaced increases, loss of basic services). people in rural communities. • An increase in maternal mortality and morbidity, due to • Little or no reconstruction of facilities reduced health services, unsafe home delivery, unplanned providing basic social services. pregnancies. • Disruption to ongoing health prevention and education campaigns (measles, malaria, typhoid, HIV/AIDS, etc.). • Increase in malnutrition.

Core elements Effects on humanitarian needs and aid operations • Lack of access to basic medicine. • Increase in people seeking medical attention across the border. • Increase in food and fuel prices as a • Increased human rights violations and protection concerns. result of increased demand, including • Increase in protection concerns, including sexual and domestic in the Dominican Republic. violence, human trafficking and exploitation. • Decreased access to food. • Adoption of negative coping strategies to meet basic needs, • Shortage of basic commodities. particularly by the most vulnerable segments of the population, • Worsening social conditions. including the elderly, orphaned children, women-headed • Political or other violence. households, those suffering with HIV/AIDS. • The threat to women and children in particular of sexual violence, exploitation and trafficking, including across the border into the Dominican Republic, is likely to increase as the loss of homes, livelihoods and income begins to affect families. Accordingly, separated women and children will require particular care and attention from the relief effort. • Reconstruction starts in earnest in • second half of 2010, but the amount that can be implemented will not significantly diminish humanitarian needs in 2010. • Heavy rains and floods as of April, • Destruction of weak infrastructure, etc as a result of possible with one or more hurricanes as of floods. Access to existing populations of concern rendered June. difficult/impossible because of flooding/damage to roads. • Aftershocks reducing in frequency but • Pre-positioning of stocks essential. continuing until at least Dec 2010. • New displacement occurs to zones outside of earthquake- • Small risk of a further major affected areas, including to the border areas with the earthquake, this time striking either the Dominican Republic. Port-au-Prince or Miragoâne region. • Increase in food insecurity with loss of harvests and livestock. • Two major sets of landslides threaten • Government requests further international assistance. the Port-au-Prince - Petionville trunk • The Humanitarian Country Team (HCT) required to decide on road and the Jacmel –Léogâne road. the feasibility of extending assistance to new populations of • lack of preparedness and early concern. warning, weak disaster capacity. • Access to existing populations of concern rendered difficult / impossible because of flooding / damage to roads; pre- positioning of stocks is essential. • MINUSTAH together with local police • Large-scale disturbances. forces, is able to maintain law and • Looting of relief stocks. order. • Increased protection violations. • Isolated outbreaks of violence in • MINUSTAH unable to assist humanitarian operations. earthquake-affected areas, some • Restriction of humanitarian space. related to delivery of relief assistance • Increased operational and security restraints. (especially food and shelter). • Possible reduction in delivery of aid. • Continuing slow pace of relief distribution. • Elections. • Continued low capacity of the • Government capacity may be overwhelmed by disease government to provide basic services, outbreaks, social unrest, or natural disasters. pay salaries and prepare for and • International support required in priority relief areas. respond to natural disasters. • International military intervention required to maintain law and order. • Sustained relief efforts from and through the Dominican Republic is required. • Assuming good early recovery • Some life-sustaining aid flows can be reduced. funding, livelihoods are partially restored in mid-2010.

Due to time pressure, and the apparent scale of the disaster, only the most-likely scenario is presented in detail. However, elements of the worst-case scenario are important to mention for their relevance to preparedness and disaster risk reduction.

Worst-Case Scenario Core Elements • Haiti is struck by another earthquake before the end of the year. • The hurricane season is as bad, if not worse, than that of 2008, causing greater than expected damage and displacement from affected areas. • There is a major influx of people to the Dominican Republic seeking assistance. • Little or no progress is made on core elements of preparedness and early warning for natural disasters. • Range, scope and speed of recovery and reconstruction programmes move slower than expected and fail to meet high expectations. Humanitarian Implications • Food production capacity within the whole country deteriorates, increasing malnutrition. • Insufficiency of shelter and access to basic services such as health care, leading to increased morbidity and mortality. • A deteriorating security situation restricts humanitarian space for aid workers, reducing the delivery of aid to the affected population.

4.2 Strategic objectives for humanitarian action in 2010 The overarching humanitarian objective is to provide an environment for safe and healthy living for all affected people until reconstruction restores normality. The strategy to achieve this will involve a mixture of accommodation and support in medium-term camps and settlements, support to those dispersed to host communities and to their hosts, and support in situ in damaged towns for those who can stay.

Based on the currently assessed needs and gaps in response in Haiti (and necessary actions in the Dominican Republic), and on the likely evolution of this crisis until June when this appeal will undergo a MYR, the HCT has determined the following strategic goals for humanitarian and early recovery action: • Save and prevent the loss of lives; • Assist displaced populations and host families and communities, especially in rural areas; • Establish a broad partnership among the humanitarian community and engage with all stakeholders, including the Government and the civil society; • Work with recovery- and reconstruction-related actors to prevent the depletion of household assets, restore livelihoods and lay the foundation.

Based on these priorities, the following overall objectives have been identified for the 2010 Revised Flash Appeal: 1. Provide the full needed range of humanitarian support for at least 1,200,000 earthquake- affected people who need shelter and other time-critical life-saving actions, especially in water/sanitation/hygiene, health care, NFI, food aid, nutritional support, and protection, emphasising the key linkages among these sectors; 2. Re-establish existing or establish new (temporary, though taking advantage of opportunities for sustainability) physical and social infrastructure and services for approximately three million earthquake-affected people in Haiti and the Dominican Republic, including health, food security, economic livelihoods support, education, community spaces and community groups; 3. Continue the strengthening of Government capacity for coordination at all levels and the rapid scale-up of common services, including logistics, telecommunications, security, and coordination in the face of current severe conditions, plus expected worse conditions in the near future; 4. Put in place preparedness, disaster risk reduction, and contingency planning (each mainstreamed throughout clusters) in anticipation of worsening conditions resulting from the imminent rainy and hurricane season and their associated risks of flooding, mudslides and storm surges.

At all times, humanitarian actors will ensure the equitable receipt of humanitarian assistance by all

demographic groups, such as women and children, older individuals, and people suffering from the physical and mental trauma of the earthquake.

The most vulnerable groups identified for assistance are: • Over one million people displaced by the earthquake and requiring immediate shelter and WASH support; • Two million people requiring food assistance; • 1.47 million women and children for nutritional support, including 360,000 children under five; • 1.5 million children and teachers for educational support; • 69,000 people living with HIV/AIDS who have been rendered homeless or otherwise affected by the earthquake, and who risk serious disruption in their treatment, including 5,000 children and 35,000 women.

The situation in Haiti following the earthquake remains fluid and to a certain extent, unpredictable. This stems from the recognition that the country will shortly have to go through its rainy and hurricane season, and that much of the earthquake-affected population is still liable to move in order to seek better shelter and support. Whilst the population is now largely calm, this may very well change should key elements of the response – durable shelter, water and sanitation, and food – not be forthcoming, or subject to breaks or delays in service. The medium- to longer-term future of Haiti remains clouded in uncertainty. The level of reconstruction and rehabilitation required is vast. Much is expected of the PDNA, and the expected subsequent reconstruction process, in order to better define the boundaries of humanitarian assistance.

4.2.1 PPRIORITY CLUSTERS’ SHORT-TERM OBJECTIVES UNTIL MAY (The HCT identified the top-priority clusters as Shelter and NFIs, CCCM, WASH, Health, Food Aid, Nutrition, and Early Recovery including Agriculture.)

Short term objective (next two – Cluster Indicator Target / Outcome three months) • 100,000 displaced and non- • Number of families • Provide 100,000 displaced families receive receiving waterproof families with waterproof waterproof cover before 1 May. cover before May. cover, thereby ensuring Shelter Cluster members will strive to minimum standards of and NFIs provide support to the rest of the cover before the rainy affected populations responding season. to ongoing needs analysis. • Identification of agencies to run • Number of agencies • International protection the 19 or more priority sites identified. and assistance containing 5,000 or more IDPs. • Number of camp standards for IDPs in • Establish committees of the committees camps and camp-like concerned communities to involve established. situations are them in site management. • Number of people maintained • Proceed with reducing the moved out of sites • population of the most hazardous identified as sites before the rainy season, the hazardous. success of which depends on CCCM three interlinked factors: (1) rubble removal in the places of origin of people in sites; (2) assessment of existing houses (for return); (3) Government cooperation for identification of sites. • Support and technical assistance provided to CCCM partners, such as camp managers and relevant Government of Haiti authorities as per needs.

Short term objective (next two – Cluster Indicator Target / Outcome three months) • Provide 1,100,000 people in • Number of people • 1,100,000 people are urgent need of WASH facilities provided with WASH provided with urgent with five litres/person/day for safe facilities. WASH support. drinking water, one emergency WASH • Incidences of diarrhoea latrine for 50 people, one and waterborne emergency bathing facility for 100 diseases kept to a people, and one basic hygiene kit minimum. for each family. • The action priority until May is • Weekly count of • The overall measure to primary health care and mobile cases of reduce the incidence of clinics to reduce morbidity and communicable communicable diseases mortality in homeless diseases. • Outbreaks detected and overcrowded populations with • Weekly count of responded to in a timely poor sanitation and in affected consultations. manner. area. • Caseload of people in Health • Ensure proper care of wounded need of post-operative and disabled. care and rehabilitation • Ensure provision of basic health services estimated. services including for chronic • Displaced and affected diseases and mental health. populations have access to essential primary health care services. • Scale down on large-scale food • Number of people • Actual number of distributions, whilst scaling up benefiting from large- women, men, girls and targeted food distributions scale food boys receiving food and (specific vulnerable groups, such distributions. non food assistance by Food Aid as school feeding), and food for • Number of people activity as percentage of work. benefiting from food planned beneficiaries. for work and school feeding. • Scaling up of critical nutrition • Number of children • A minimum of 50% response activities, including receiving therapeutic severely malnourished detection and treatment of severe treatment. children receive acute malnutrition; prevention of community-based malnutrition through promotion of therapeutic treatment, of Nutrition breastfeeding and appropriate which 10% will benefit infant feeding practices, from treatment in health supplementary feeding facilities. Full coverage programmes, Vitamin A of all severely supplements, etc. malnourished children as soon as possible. • Seed and planting material • Number of • Production increases distribution to those areas and households receiving directly attributable to households where this is known to seeds and planting seed and planting be in short supply. material. material distribution. Agriculture • Targeted agricultural input support • Number of targeted • Quantity increases in to urban households to increase households receiving selected vegetables in self-sufficiency in food production, inputs and training. urban markets. stimulate urban markets and support incomes.

Short term objective (next two – Cluster Indicator Target / Outcome three months) • Immediate creation of • Number of people • Cleared sites for safe employment and livelihood benefiting from CfW (re-)settlement of opportunities. This will be initiatives. displaced people. achieved through: • Number of women- • Repaired and • Large-scale Cash-for-Work. headed households functioning to surface • Emergency provision of safety net and other vulnerable water drainage. opportunities, with particular focus groups benefiting • Improved road access on women-headed households, from emergency to and through affected the disabled and the elderly. safety-net areas. Early opportunities. Recovery • Emergency large-scale provision • Basic early warning of self-help micro-grants. • Tons of debris and system for risks • Clear highly-populated affected rubble cleared. associated with hydro- areas of Port-au-Prince and • Number of people meteorological hazard is Jacmel, Miragoâne, Léogâne, receiving hydro- set up and disseminates Petit Goave, Grand Goave and meteorological warnings to the Cabaret of rubble and warnings. authorities and the accumulated debris. population. • Disaster risk reduction and emergency preparedness. • Identify main protection concerns • Number of people • Vulnerable groups are and vulnerable groups. receiving information identified and • Ensure protection concerns and about assistance assistance targeted to the most vulnerable are taken into strategies. them. account in strategies for the • Percentage of • System established to distribution of aid. identified vulnerable inform population of • Identify partners to assist in the cases in camps options available and distribution of relevant and timely receiving assistance. assistance provided. information to the general public • Number of national • Referral networks Protection on assistance being provided institutions or NGOs operational and • Increase capacity of local actors carrying out accessible to to participate in relief and protection monitoring population. recovery. and delivering • Re-establish critical referral services. networks for GBV and Child • Number of GBV and Protection. other human rights violations cases reported and monitored. • Opening of schools in non- • Number and • All children and youth affected areas and affected areas. percentage of have immediate access • Temporary schooling for children earthquake-damaged to quality education and and youth directly and indirectly schools repaired, support. affected by the earthquake. rebuilt or constructed. • Psycho-social support for • Number of temporary teachers and from teachers to safe learning spaces Education learners. established. • Support to education authorities. • Number of teachers trained in psycho- social methodologies. • Number of education authority facilities repaired.

4.3 Strategic monitoring plan Members of the HCT and their partners will monitor progress and refine objectives and indicators for the identified goals regularly throughout 2010. The Humanitarian Coordinator (HC) and the HCT, supported by OCHA, will furthermore undertake a MYR of the revised appeal around June 2010. Changes will be incorporated in the MYR or through periodic reviews should the exigencies so demand. OCHA-Haiti will support the HCT and cluster leads with monitoring through the consistent collection and analyses of information.

Each cluster will further implement sector-specific monitoring mechanisms and if needed revise the

sector objectives in the priority areas identified. Continuous inter-cluster collaborative monitoring on thematic and operational issues will bolster the overall monitoring plan by agencies or specific clusters/sector working groups.

OCHA will distribute all relevant and available information, including financial data, to NGO partners, Government, donors, UN agencies and other humanitarian stakeholders. OCHA will also update regularly an aggregated ‘Who does What Where’ (3W) database on humanitarian activities in close coordination with cluster lead 3W focal points. In addition, the HCT seeks to strengthen the monitoring of funding levels, actual implementation of projects, and challenges encountered.

On the basis of progress achieved and further evolution of the humanitarian context, the HCT will adjust the revised appeal as necessary. (Projects and their funding requirements will be adjusted continually on line, and can be seen on www.reliefweb.int/fts.) Adherence to Sphere standards will be systematically monitored and will be a key ingredient of monitoring and evaluation.

A. Strategic Indicators and data collection system

Strategic priority Proposed indicators (disaggregated to the extent Target/outcome possible by gender) 1. Provide the full needed range of humanitarian support for at least 1,200,000 earthquake-affected people who need shelter and other time-critical life-saving actions, 1 especially in water/sanitation/hygiene, health care, NFI, food aid, nutritional support, and protection, emphasising the key linkages among these sectors • Crude mortality rate in affected areas below emergency levels. • At least 1,200,000 earthquake- • Under-five mortality rate in affected areas below emergency affected people in Haiti and in the levels. Dominican Republic have access to • Number of earthquake-affected populations provided with clean safe drinking water and sanitation, water and sanitation facilities against targeted caseload. shelter, primary healthcare, nutrition • Number of earthquake-affected populations receiving adequate support and regular and adequate health services against targeted caseload. food. • Number of amputees fitted with appropriate prostheses against number of targeted caseload. • Number of people receiving rehabilitative services against targeted caseload. • Number of people receiving food rations/number of meals ready to eat distributed against targeted caseload. • Malnutrition rates below emergency levels. • Number of shelter and NFIs distributed against targeted caseload with a particular focus on ensuring protection for women and girls (bathroom lighting, dignity kits). • Number of women and adolescent girls receiving health services or psycho-social support in relation to GBV. • Number of sites that have established community leadership structures, including women and girls that can coordinate with humanitarian service providers. • Number of children receiving assistance. • Percentage of female population benefiting from humanitarian assistance. • Number of women-friendly community spaces. • Percentage of data provided by agencies and NGOs disaggregated by age and gender. • Number of HIV-affected people receiving assistance. • Number of people with disabilities provided with adequate humanitarian assistance.

Re-establish existing or establish new (temporary, though taking advantage of opportunities for sustainability) physical and social infrastructure and services for approximately three million earthquake-affected people in Haiti and the Dominican 2 Republic, including health, food security, economic livelihoods support, education, community spaces and community groups • Number of urban and rural men and women receiving high- • More than 500,000 people (40% quality agricultural inputs. women) from affected communities

Strategic priority Proposed indicators (disaggregated to the extent Target/outcome possible by gender) • Number of classrooms repaired/rehabilitated/newly are provided with short-term established/temporarily set up. employment opportunities, safety • Number of population benefiting from cash/food-for-work, by nets, or grants opportunities over a gender. 12-month period, indirectly benefiting • Tonnage of rubble removed, sorted out and recycled in a sound up to 2.5 million people. environmental manner. • Number of schools refurbished. • Number of teachers and community workers trained on psycho- social issues. • Number of pre-school and child-friendly spaces Number of children receiving assistance. • Percentage of female population benefiting from humanitarian assistance. • Number of women-friendly community spaces. • Percentage of data provided by agencies and NGOs disaggregated by age and gender. • Number of HIV-affected people receiving assistance. • Number of people with disabilities provided with adequate humanitarian assistance. Continue the strengthening of Government capacity for coordination at all levels, and the rapid scale-up of common services, including logistics, telecommunications, security, and 3 coordination in the face of current severe conditions, plus expected worse conditions in the near future • Volume of tonnage of cargo facilitated/moved, including from the • Effective coordination mechanisms to Dominican Republic. avoid overlaps, competition and harm • Ratio of requests for logistic services accommodated. between projects are in place at • Percentage of requests to transport humanitarian cargo through different levels and with all relevant common logistics services fulfilled. stakeholders. • Number of logistics staging areas and hubs established to facilitate efficient logistics response to affected populations as per Concept of Operations. • The number of UN agencies and other humanitarian organizations utilizing the air services. • Emergency telecommunications services provided to the humanitarian community. Put in place preparedness, disaster risk reduction, and contingency planning (each mainstreamed throughout clusters) in anticipation of worsening conditions resulting from 4 the imminent rainy and hurricane season and their associated risks of flooding, mudslides and storm surges. • Contingency planning for the upcoming rainy and hurricane • Emergency response materials pre- season is completed. positioned, contingency planning • Number of IDPs on sites vulnerable to flooding relocated. exercises conducted and early • Number of IDPs sites prepared for rainy season. warning capacities for disasters • Quantity of relief goods pre-positioned. caused by hydro-meteorological • An interim geo-hazard and building hazard management plan is hazards developed. completed and implemented. • Concerted plans and mappings of interventions owned by public authorities are prepared and implemented leading to enhanced coordination and maximized use of resources. • Effective early recovery coordination mechanisms to avoid overlaps, competition and harm between projects are in place at different levels and with all kinds of stakeholders.

4.4 Criteria for selection of projects • The project must be consistent with the cluster strategy, and must contribute towards the achievement of one or several of the strategic objectives agreed upon by the HCT for the humanitarian operation in 2010.

• The project must present a clear target in specified operational areas and should not duplicate activities implemented by other organizations. • The implementing agency must have a recognized capacity to implement the project. • The appealing organization must be part of existing coordination structures (cluster working group member). • The implementation of the project or part thereof must be feasible within the 12-month timeframe. • The project must be cost-effective in terms of the number of beneficiaries and the needs to which the project intends to respond. • Wherever possible, the project shall include national NGOs and other national partners. • Activities undertaken by actors from the Dominican Republic are closely coordinated between the clusters in Santo Domingo and those in Port-au-Prince in order to avoid gaps and overlaps. • The project must demonstrate that it is based on sound assessment of different vulnerabilities and capacities of the affected population, including the most vulnerable, and that it adopts as much as possible participatory elements, both in the design and implementation of the intervention.

(Note: in the revision process, many projects not counted in the original flash appeal but which have already received partial or full funding are now counted in this Revised Flash Appeal, together with their funding. The reason is so that the appeal becomes a full humanitarian framework that comprehensively maps the actions of nearly all key organizations, plus a valid barometer of funding requirements and funding to date.)

No formal prioritization scheme has been adopted at this time, for several reasons. The emergency is still too fluid, several thresholds too imminent, and the range of responses in the face of significant uncertainty too large to be able, at this time, to apply a formal prioritization. That said, there is clear acknowledgement that at this stage of the response the priorities for action must be in providing shelter and WASH services to displaced people and people living in self-settled sites, and in providing them with sufficient food. Considering as well the massive reconstruction and recovery needs, an implicit prioritization is nevertheless emerging of needs and associated projects and programming, along the following lines at this time:

• All activities concerning shelter and camp management aiming at accomplishing activities under Phase I (by the end of May); • All activities concerning WASH-related activities aiming at accomplishing activities under the Cluster’s short-term targets (by the end of May); • All activities aimed at earthquake-related clean-up activities, particularly CfW, which assist affected Haitians in rebuilding their lives and livelihoods; • All activities aimed at preparedness and contingency planning for the upcoming rainy and hurricane seasons, including projects that increase Government capacity; • Activities, particularly shelter, NFIs and agriculture, supporting host communities in integrating displaced populations.

4.5 Cluster Response Plans As per the general cluster approach, cross-cutting issues such as environment, HIV, gender and disaster risk reduction will be mainstreamed into the individual cluster strategies and work plans, with regular coordination across the clusters. Gender equality and other cross cutting issues will be addressed in sectoral responses, and needs assessments will include gender analysis and collection and analysis of sex and age disaggregated data as well as data on those with specific priority needs (including physical and mental disability). Assessment teams will be gender balanced, and responses will take into account different needs, potential barriers, and ensure equal access to services for women, girls, boys and men in planning and implementation of sector activities.

For environment-related projects, however, the scale of the needs and the potential fragmentation of investment is so great that a centralised process will be established to cost-effectively assist all clusters, share best practice and monitor performance. To assist all clusters a central Technical Assistance Facility which was already established by the UNEP in Haiti prior to January 12 will be expanded to provide a pool of expertise in areas such as waste, energy, forestry, hydrology and soil erosion. This resource will be centrally funded and so available free of charge in the first instance to the estimated 900+ humanitarian actors in Haiti. The environmental needs and performance of each cluster will be centrally monitored using a “scorecard” system, benchmarked against performance standards to be agreed with each cluster lead. This central resource in project terms will be located in the Early Recovery Cluster due to its foreseen crossover to the recovery process.

4.5.1 EMERGENCY SHELTER & NON-FOOD ITEMS Cluster Lead Agency International Federation of Red Cross and Red Crescent Societies (IFRC) Cluster Partners International Organization for Migration (IOM), IFRC (supporting the Haitian Red Cross), GOAL, UNICEF, L'Association des hôpitaux privés d'Haïti (Haiti Private Hospitals Association– AHPH)/Clinics, Concern Int'l, Inter Help, Ananda Marge Universal Relief Team (AMURT), Dash Clinic, DPC, Feed The Children, Islamic Relief, Killick, Med Centre, Maison Enfants de Dieu, ThirstNoMore, Turkish Red Crescent, Civil Protection Portugal, Fraternité Notre Dame, Adventist Development and Relief Agency (ADRA), Project Concern Intl, Cooperative for Assistance and Relief Everywhere (CARE), Agency for Technical Cooperation and Development (ACTED), HI, Save the Children (SC), World Concern International, The Salvation Army, CRS, IRS, CITIMED, INTERSOS, Médecins Sans Frontières (MSF) HOLLAND, Elim Relied Agency, Mercy Corps, ACF, International Relief and Development (IRD), International Rescue Committee (IRC), World Vision (WVI), Canaan Joint Aid Mission, Eglise Adventiste Du Temple, Institution Maranatha, MINUSTAH / Police Nationale d’Haïti (National Police of Haiti – PNH), Operation Blessing, Orphelinat Yahweh Children Shekina, Paroisse St Mathieu, Solidarités Number of Projects 25 Cluster Objectives The overall objective of this cluster is to achieve safe and dignified shelter for those families affected, both directly and indirectly, by the earthquake • Phase 1: provide waterproof cover for those with unsafe / destroyed houses or hosting other families within three months. • Phase 2: support transitional shelter with a lifetime of up to three years for those with unsafe homes. • Phase 3: Support durable construction. Beneficiaries 1,000,000 people over 12 months Funds Requested $118,523,653 Note that additional to these funds, IFRC is appealing for funds for the coordination of the Shelter & NFI Cluster and its operations through the IFRC Emergency Appeal which can be found in Annex III Contact Information [email protected] tel: 34 85 0312

Needs Analysis Following the earthquake, people have sought shelter with host families, or in self-built temporary shelters. As space in cities is limited, many people have moved to spontaneous settlements in public spaces, or co-located with host families. According to government figures from 14 February 2010 over 511,000 people have left Port-au-Prince, putting significant pressures on host families in other, often

poorer, parts of the country. In addition, some 500,260 people remain displaced in spontaneous and planned settlements in Port-au-Prince.

Material supply to Haiti has been interrupted, whilst core shelter materials such as relief quality plastic sheeting, timber and corrugated iron sheeting all need to be imported. The quality of tents delivered has been highly variable, and relatively few will last the hurricane season. Of the damaged houses, many remain habitable but families are justifiably concerned at having to sleep inside them, with mixed public information messages confusing the situation. Fuel considerations are also significant, in particular for food preparation. In Haiti, this is a key issue that must be addressed, given the rampant environmental degradation as wood is cut down for charcoal.

Objectives The overall objective of this cluster is to achieve safe and dignified shelter for those families affected, both directly and indirectly, by the earthquake. Two main phases have been identified: • Phase 1: Shelter within three months, before the hurricane season: 100,000 displaced and non-displaced families receive waterproof cover before 1 May. Cluster members will strive to provide support to the rest of the affected populations responding to ongoing needs analysis; • Phase 2: Full transitional shelter within 12 months: 100,000 targeted families, both displaced and non-displaced, are living in safe transitional shelters with an expected lifetime of up to three years before the rains of 2011. A further 100,000 hosting families in rural areas receive material shelter support within the same time frame. This activity should start with immediate effect. • Shelter programming will become increasingly targeted, and consider health, protection and WASH, livelihoods and recovery. It will be aimed at supporting transition to durable solutions. • Plans for durable shelter for the entire affected population are developed within 12 months. • A system to deliver accurate public information on shelter-related issues is operational within two months. • Risk mapping, and vulnerability and capacity analysis should be completed for all sites. All construction methods used should reduce vulnerability. • Key groups, including the most vulnerable, are consulted in the analysis and design of shelter and NFI response and the findings are used to ensure the design of equitably accessible, targeted and culturally appropriate services; women, and adolescent girls and boys are included on reconstruction teams, committees, and those participating in related training opportunities include a diverse range of groups. • The objective for coordination is to ensure that governmental and humanitarian stakeholders in the response participate in a single coordination structure. The capacities of the armed forces and the private sector are recognized by this coordination structure. • Working with other clusters to advocate that plans for rubble clearance are developed, prioritizing drainage and demolition of unsafe structures, and recycling of materials as appropriate.

Indicators

Phase 1 • Percentage of families receiving NFI support within three months. • Percentage of families receiving waterproof cover within three months. • Percentage of families whose houses have been assessed for seismic, rain and hurricane risk.

Phase 2 • Percentage of families receiving support with hurricane-resistant shelter before 2011. • Percentage of families receiving support for durable housing before 2011. • Proportion of families included in plans before 2011 for durable housing. • Targeting criteria have developed and implemented. • Families have access to accurate public information on shelter-related hazards.

Sectoral monitoring plan • Protection issues will be closely monitored through field reporting by partners and the protection cluster. • Detailed distribution and pipeline data will be maintained and publicly updated on a regular basis by the cluster coordination team. Members of the cluster are expected to report their plans, activities and detailed distribution data. • Technical assessments of existing, damaged housing will use emergency building code standards described by the Government of Haiti. These will ensure that families do not put themselves at risk by future events such as landslides, wind, tidal surge, floods, and aftershocks. • Monitoring of public outreach materials to beneficiaries on building back safer. • Population displacements will be monitored on a regular basis through triangulated government data and field reports. Prioritization of locations for intervention will adapt to changing population flows and needs. • The impacts of adverse weather, and potential flood / wind / tidal surges / landslides, as well as significant aftershocks will be closely followed using techniques such as remote sensing, aerial photography and triangulated field reporting. • The public health context (e.g. increased incidences of fire injuries, respiratory infections and diarrhoeal diseases) will be closely monitored through the cluster system and shelter impacts monitored.

Table of proposed coverage per site (some sites still being assigned)

SITE / AREA ORGANIZATIONS Port au Prince IOM, ACTED (focus on Carrefour Feuilles and Portail Léogâne), ACF (NFI in Canape Vert, Croix Deprez, Centre Ville, Vallee Bourdon), Jacmel Léogâne, Gressier ACTED, ACF (NFI in Gressier) Petit Goave, Grand Goave Handicap (Petit Goave), ACTED (Grand Goave) Les Mornes Handicap Carrefour Artibonite North South west Border areas with DR IOM

4.5.2 CAMP COORDINATION AND CAMP MANAGEMENT Cluster Lead Agency International Organization for Migration (IOM) Cluster Partner ACTED, INTERSOS, United Nations Office for Project Services (UNOPS), Feed the Children Number of Projects 12 Cluster Objectives Objective 1: Provide support to the earthquake-affected displaced population and host communities by ensuring dignified and safe living conditions. Objective 2: Ensure IDPs in settlements receive effective and well- coordinated humanitarian services to meet their protection and assistance needs. Beneficiaries Over 1,000,000 people over 12 months Funds Requested $73,044,540 Contact Information Giovanni Cassani, CCCM Cluster Lead ([email protected])

Needs Analysis There are three broad categories of people in need of shelter: (i) Non-displaced living at or near the site of damaged or destroyed homes (approximately 100,000); (ii) People residing with host families in both urban and rural settings; (iii) Those that have spontaneously self-settled in urban sites (approximately 500,000 to 700,000).

The CCCM Cluster focuses on the third category and has so far identified 334 sites occupied by 500,260 individuals (97,659 families). Additionally, 18 sites identified with a population of more than 5,000 IDPs have been identified (see below). In the beginning, the cluster focused on assisting IDPs where they are. However, due to critical conditions in several sites and overcrowding (Champ de Mars, Petionville Golf Club), the HCT agreed on a new strategy that focuses on decongestion of sites through relocation. However, 45 hectares would be needed to relocate people from congested sites (according to Sphere standards) and there is an urgent need to identify more sites for planned settlements. So far, only nine sites have been identified by the Government (five in Port-au-Prince and three outside) to become transitional settlements, each with a reported capacity to house up to 10,000 people each. Compliance with Sphere standards is currently not realistic in the Haiti context, and should therefore not be an impediment to improve living conditions for the population in overcrowded sites.

There is need for a more consistent data flow regarding camps and camp-like situations, both for Port- au-Prince area and for other regions. A large number of spontaneous settlements require updated profiles regarding basic demographics, services’ coverage, infrastructure and other specific needs. According to available data and observation in the field, the majority of the camps are congested preventing or limiting delivery of immediate basic services.

Sites need to be found that take the following into consideration: flood risk, congestion, clearance of rubble, and proximity to services. There is a clear need of more agencies undertaking camp management activities. Population per site is quite fluid and numbers can change within a short time. The forthcoming rainy season will likely increase the risks related to public health and shelters in camp-like situations. There is a great need to work on risk mapping of hazardous sites and emergency preparedness in case of heavy rains or hurricanes.

Strategy and proposed activities Short-term objectives have been identified for the CCCM Cluster which are achievable by May (in line with Phase I of the Shelter Cluster) as follows: • Identification of agencies to run the 18 or more priority sites containing more than 5,000 individuals each; • Establish committees of the concerned communities to involve them in site management; • Proceed with reducing the population of the most hazardous sites before the rainy season, the success of which depends on three interlinked factors: o Rubble removal in the places of origin of people in sites;

o Assessment of existing houses (for return); o Government cooperation for identification of sites.

It is necessary to scale up camp management mechanisms within Haiti to ensure the vulnerable population is protected and assisted. This will include activities such as consolidation of a common strategy on camp management, support to agencies directly involved in camp management, development of population tracking and profiling tools, identification of gaps in assistance and protection issues, promoting a environment that prevents sexual exploitation and abuse including by establishing a system for identification and referral.

CCCM will support the efforts of the Government and national civil society. The CCCM Cluster will continue to identify and assess the settlements (both formal and self-settled) to track population movements and contribute to meeting protection needs. In coordination with other clusters, the CCCM Cluster will advocate improvement of service provision targeting for efficient and effective assistance. Close coordination with all other clusters including shelter, WASH, protection, food and health will be maintained at all phases of the response. Additionally, the population tracking / profiling will provide IDP figures for all other types of assistance and support eventual recovery and durable solutions plans/efforts.

CCCM actions will also include: • Guidance to cluster members and shelter agencies for safe and well-planned camp identification and set up; • Guidance to cluster members for effective and efficient camp management and, where appropriate, camp consolidation and closure; • Participatory assessments; • Information-gathering on and analysis of humanitarian needs; • CCCM will conduct profiling exercises to understand affected people’s intentions and support their durable solutions process; • Collect information from various sources to maintain a master list (map) with all settlement sites; • Preparing a prioritized list of the sites that need immediate intervention (mostly due to size or to the unsuitability of the location); • Working with the Government to identify suitable sites for so as to be able to decongest existing overcrowded settlements; • Preparing CCCM training for cluster members and Government counterparts; • Working with the Government on registration and profiling.

The CCCM Cluster will help ensure that displaced people are assisted to return to their homes in dignity. CCCM activities will help the Government and humanitarian partners to prioritize their interventions enabling them to provide a more targeted and coordinated assistance.

Expected Outcomes • International protection and assistance standards for IDPs in camps and camp-like situations are maintained. • Settlement sites are identified, assessed and regularly monitored, in coordination with local and international partners. • Delivery of humanitarian services in each camp and camp-like situation or site is timely and efficiently coordinated. • An effective information management system to gather, analyse, and disseminate information at the inter- and intra-site/camp levels is established. • Support and technical assistance provided to CCCM partners, such as camp managers and relevant Government of Haiti authorities as per needs. • Strengthened overall coordination of the humanitarian response.

Indicators • Number of agencies reporting regularly to the cluster.

• Number of camp and camp-like situations assessed by partners and CCCM. • Number of priority sites closed or upgraded. • Number of partners trained (including Government of Haiti).

Table of coverage per site/location 1. List of spontaneous sites identified / approved by the government to become transitional settlements. Planned Sites Population Type of shelter Managed by Ongoing work/Needs Parc St Claire, Delmas 864 Tents Islamic Relief Registration, site cleaning Portuguese Civil Levelling and creating Parc Colofer, Delmas 615 Tents Defence drainage Place de la Paix, Delmas 20,000 Makeshift Salvation Army Need shelter material Improving shelters; IFRC/Haitian Red Aviation/Parc de la Paix 15,000 Makeshift Relocating people from Cross other sites Turkish Red Carradeux, Tabarre 1,240 Tents Need latrines Crescent Plastic sheeting Paroisse Cite Militaire, Cite Soleil 4,500 CESAL / AVSI Need more shelter material and structures Airport 350 Tents DPC Improving sanitation American Refugee Latrines, shelter, NFI by 30 Fonds Parisiens 1,200 Tents Committee (ARC) January Request made to JOTC for Temporary shelter site survey, drainage Terrain Acra, Delmas 8,000 with plastic ARC improvement, levelling and sheeting clearance 51,769 Total: nine sites people

2. Priority list of the biggest spontaneous sites (each containing over 5,000 individuals) that might require emptying in whole or in part because of overcrowding or relocation because prone to flooding/mud slides. Site Name Individuals Families Camp Management Agency Champs Mars (French Embassy) 16,000 3,200 - Place de la Paix / Delmas 2 16,305 3,261 Salvation Army Ancien Aeroport Militaire 15,000 3,000 IFRC/HRC Terrain Golf / Delmas 48 20,000 4,000 JPHRO-CRS Canape Vert (Poste de Police et terrain basquet) 12,000 2,400 - Automeca 11,000 2,200 - Venus et Environs 10,000 2,000 Concern Martissant - Cite la Joie 10,000 2,000 - Carrefour (Centre sportif) 8,000 1,600 GRC Universite Adventiste (Diquini) (1) 14,000 2,600 ADRA Boliman Brant 15,006 2,822 Concern Delmas 89 A impasse Oseille 7,500 1,500 - Terrain Pere Solina 7,000 1,400 - Route Fort Mercredi 5,538 923 Concern Bo Marche 5,000 1,000 - Camp de Boulos 9,000 1,800 - Terrain Acra 8,000 1,600 ARC Fondation Anciens St Loius St. Louis Gonzague 10,320 2,064 Gonzague Total 199,669 39,370

Sectoral monitoring plan • List of site and agencies responsible per site/per sector. • Regular multi-sectoral reports from partners and from CCCM mobile monitoring teams.

4.5.3 WASH Cluster Lead Agency United Nations Children’s Fund (UNICEF) in support of Direction Nationale de l’Eau potable et de l’Assainissement (DINEPA) Cluster Partners UNICEF, SC, ACF, Oxfam, CARE, IRC, Solidarités, NCA, COOPI, PAHO, UN HABITAT, IOM, Deep Springs International, IRD Number of Projects 23 Cluster Objectives 1. To ensure safe and equitable access to WASH services/facilities for men, women, boys and girls of Haiti that have been directly or indirectly affected by the earthquake (regardless of their geographic locations), during the emergency and medium term phases. 2. To strengthen national capacities/authorities with regards to WASH response and coordination in the framework of the earthquake and upcoming cyclones season. 3. To ensure sector wide emergency preparedness in the perspective of the upcoming cyclones seasons. Beneficiaries 1,100, 000 people Funds Requested $80,638,625 Contact Information For Haiti: [email protected]

Needs Analysis As a result of the earthquake, it is estimated that 1,100,000 people are in urgent need of safe drinking water, latrines, bathing facilities, NFIs (including hygiene kits), removal of solid waste, and drainage. While water continues to be needed regardless of geographic locations, sanitation in high density settlements/camps in Port-au-Prince remains a huge priority and an equally huge challenge.

No fewer than 20,000 emergency latrines along with hand-washing facilities, 10,000 emergency bathing facilities and 190,000 hygiene kits are required in this very first phase. In terms of vulnerability, preliminary findings from a multi-sectoral rapid assessment in Port-au-Prince revealed that the groups most at risk for the WASH sector are the elderly, widows, unaccompanied children, disabled people and pregnant women. With the upcoming rainy season and the geographical setting of Port-au-Prince there is a serious risk of a diarrhoea outbreak if the sanitation problem is not addressed in the coming two to three months. Disaster risk mapping should be completed for all sites. All construction methods used should reduce vulnerability.

In the medium term (three to 12 months), increasing the standard access (coverage) to the WASH facilities will be the priority so as to allow people to move from life saving to recovery. Contingency planning is also underway to prepare for the imminent rainy season.

In Haiti, the DINEPA has proactively taken the leadership of the WASH Cluster with support from UNICEF, and has done well so far in coordinating and supporting the WASH response by bringing together a wide range of partners including the private sector, other national authorities such as municipalities, national and international organizations, the UN, and the Red Cross and Red Crescent movement. While this is an encouraging step, the reality is also that DINEPA needs support in terms of financial resources to strengthen its capacities to deal with emergencies. Therefore, UNICEF will continue its capacity-building support to DINEPA by providing financial and human resources for WASH coordination and response.

Similarly, the Dominican Republic Government has demonstrated readiness to respond, although its resources are not enough to cover all the needs of those affected and currently in the Dominican Republic, and there is little capacity to be able to deal with a large influx of people coming into the country. As a result, the WASH Cluster will work together to establish a joint work plan to respond to WASH-related scenarios in the border areas. Given the size and scale of the problems to be resolved, effective coordination amongst government departments, UN agencies, INGOs and NGOs is critical in ensuring the effective delivery of assistance to those most in need.

Strategy and proposed activities Two main phases, covering the short and medium term are planned. • Short term (two-three months until May): providing 1,100,000 people in urgent need of WASH facilities with 5l/p/d for safe drinking water, one emergency latrine for 50 people, one emergency bathing facility for 100 people, and one basic hygiene kit for each family. • Medium term (3-12 months): coverage/standards will be set to comply at least with those from Humanitarian Charter and Minimum Standards in Disaster Response (Sphere). To ensure a quality response and facilitate coordination, each site/spontaneous camp will have only one reference/focal point agency that will ensure that a complete/comprehensive package (WASH) is provided to the affected population.

To meet these objectives, WASH Cluster partners will work to implement the following activities:

First phase (two-three months) • Continued assessment and monitoring of WASH needs (of the affected) and response both in Haiti and in DR. • Production (pumping and treatment) and distribution of safe drinking water through water tankering. • Installation of temporary water storage facilities such as bladders, polyethylene tanks, etc. • Rehabilitation of existing water infrastructures such as the water supply networks (emergency repairs), hand pumps, metallic/concrete reservoirs, etc. • Construction/installation and maintenance of emergency latrines (pit latrines, trench latrines, mobile latrines, etc) for men, women, boys and girls. • Construction/installation and maintenance of emergency bathing facilities for men and women. • Construction/maintenance of drainage facilities. • Distribution of culturally appropriate standardized hygiene kits in coordination with Shelter Cluster. • Distribution of standardized hygiene kits in coordination with Shelter Cluster. • Provision of hygiene education/promotion focused on identifying key risks, ensuring the participation of men, women, boys and girls in water, sanitation and hygiene interventions and promoting effective use of facilities, goods and services provided. • Support the existing and concerned Government structures (both in Haiti and DR) to lead sector needs assessments, monitoring and evaluation of WASH response. • Support the DINEPA (Haiti) for WASH Cluster Coordination leadership and Emergency Preparedness. • Coordination structures at a local level (DR) will be organized in collaboration with the relevant authorities. • Development and early implementation of a solution for the safe disposal or treatment of the large volume of septic tank and latrine pit contents generated by the temporary and transitional settlements. Throughout WASH interventions ensure that the dignity and security of boys, girls, women and men are respected and protected by prioritizing consultation with women and girls in planning of WASH responses, by building separate facilities for males and females and ensuring that they are located and designed to ensure security and privacy.

Second phase (3-12 months) • Continued assessment and monitoring of WASH needs (of the affected) and response both in Haiti and in DR. • Rehabilitation of existing water infrastructures such as the water supply networks, hand pumps, metallic/concrete reservoirs, etc. • Construction of new water points (boreholes, wells, etc). • Extension of the water supply network. • Construction of sustainable low-cost latrines for men, women, boys and girls. • Upgrading of existing latrines through rehabilitation and de-sludging. • Installation of hand washing facilities. • Distribution of standardized hygiene kits in coordination with Shelter Cluster.

• Provision of hygiene education/promotion focused on identifying key risks, ensuring the participation of men, women and children in water, sanitation and hygiene interventions and promoting effective use of facilities, goods and services provided. • Support the existing and concerned Government structures (both in Haiti and Dominican Republic) to lead sector needs assessments, monitoring and evaluation of WASH response. • Support the DINEPA (Haiti) for WASH Cluster Coordination leadership and Emergency Preparedness. • Coordination structures at a local level (Dominican Republic) will be organized in collaboration with the relevant authorities. • Capacity-building/training of staff from WASH Cluster partners as well as other relevant stakeholders following needs assessments. • Establishment of emergency preparedness measures such as contingency stocks in the framework of the upcoming cyclones season.

Expected Outcomes Earthquake-affected people (right holders) regardless of their geographical locations (Haiti, DR, urban areas, rural areas, relocation camp, spontaneous settlement, etc) have: • Access to sufficient quantities of safe drinking water; • Access to latrines and bathing facilities that promote dignity and safety and the means to clean and maintain them; • Safe disposal facilities for solid waste and maintain adequate drainage in their local environment; • Awareness of the public health risks they face and enabled (access to materials, services, etc) to take action to protect themselves against them; • Access to facilities that are safe and reduce risk posed by aftershocks, hurricanes and floods. • WASH contingency stocks are available within WASH Cluster partners stocks to re-act to potential suffering resulting from upcoming cyclones season.

WASH response is well coordinated by the Government authorities with support from UNICEF and wider WASH Cluster partners.

The sector is well documented in terms of identifying needs, gaps, agency responses and future requirements and there is adequate reporting and effective information sharing in the sector.

Collective WASH response strategies and action plans are developed and are adequately reflected in relevant appeals and reconstruction plans.

Table of proposed coverage per site Organization Location Dominican Republic & border area, inclusive WASH Cluster coordination in the UNICEF Dominican Republic UNICEF Haiti (WASH Cluster coordination) Haiti (Dominican Republic border area, Malpasse-Croix de Bouquet corridor, Port-au- UNICEF Prince) Sanitation & hygiene (with water points in second half of 2010) – Haiti: Port-au-Prince SC and environs, Jacmel, Léogâne, Petit Goave Haiti: Port-au-Prince (Carrefour and Petionville, Carfour Feuille, Delmas and other Oxfam sites yet to be identified), Government relocation camps outside of Port-au-Prince (possibly), affected areas outside of Port-au-Prince to be identified Solidarités Haiti: Port-au-Prince (Bas Delmas, Bourdon, Pegguyville), Petit Goave (rural areas) IRC Haiti: Martissant and Bel air, Léogâne and Jacmel CARE Wat-San – Haiti: Petionville, Carrefour, Léogâne NCA Haiti: Bel Air, Cite Soleil & other areas of Port-au-Prince COOPI Haiti – IDPs in temporary camps PAHO/ WHO Dominican Republic & border area Haiti – IDP sites (spontaneous & planned [to be determined with CCCM]) (60,000 IOM families) IOM Haiti

Deep Springs Haiti: villages and rural areas International Haiti: Central area of Port-au-Prince, Champs de Mars, Canapé Vert, Croix de Prez, ACF Stadium, and the Léogâne-Gressier axis UN HABITAT, UNEP Solid waste disposal – Haiti: Port-au-Prince IRD Sanitation – Haiti: Grande Riviere and Gros Morne sections of Léogâne Commune Aide et Action Dominican Republic: border areas (Pedernales, Commander, Jimani and Dajabon) Oxfam-Québec Sanitation – Haiti: Belladere

Sectoral monitoring plan Given the scope of the WASH Cluster response, a stand-alone monitoring project will be implemented so as to provide a comprehensive picture on the response and the gaps. Additionally, the project will also monitor the WASH Cluster coordination activities and tools and how they contribute to enhance response delivery. The project will be implemented by UNICEF and DINEPA.

4.5.4 HEALTH Cluster Lead Agency Pan-American Health Organization/World Health Organization (PAHO/WHO) Cluster partners PAHO/WHO, UNAIDS, UNICEF, UNFPA, IOM, SC, WV, International Medical Corps (IMC), MERLIN, Médecins du Monde (MDM), International Rescue Committee (IRC) Number of Projects 44 Cluster Objectives 1. Effective coordination of the health sector response, needs and disaster risk assessment, monitoring & evaluation under the authority of the National Health Authority (NHA). 2. Ensure outbreak control and effective disease surveillance. 3. Ensure adequate water supply and environmental health. 4. Reactivation of basic health care services for a more integrated health system based on primary health care. 5. Ensure treatment and rehabilitation of injured patients. 6. Ensure availability of essential drugs and medical supplies. Beneficiaries Earthquake-affected population in the whole country Funds Requested $134,067,349 Contact Information Dr. Henriette Chamouillet, PWR Haiti E-mail: [email protected]

Needs Analysis

Short-term needs (until May): The January 2010 earthquake in Haiti caused massive mortality and countless injured who require surgery and trauma care. Many of the victims became disabled and will need specialized care. Homeless people gathered under improvised shelters or public spaces leading to overcrowding that, combined with poor living conditions, facilitates the spread of air-, water- and vector-borne diseases as well as the potential for epidemic diseases. The population has been strongly emotionally-affected and will require mental health and psycho-social support. The whole health system has been deeply affected in its infrastructure and organization affecting the capacity of the system to respond to the pressing health needs of the population. Livelihoods were lost, availability of food decreased, with particularly adverse effect on vulnerable groups including children. People with chronic diseases and HIV have been faced with the interruption of their treatment. SGBV is a looming risk. The rainy and hurricane seasons will start in the coming months, thus further complicating an already disastrous situation. The immediate risks include diarrhoea and waterborne diseases. Priority actions until May will focus on primary health care and mobile clinics to reduce morbidity and mortality among homeless people living in overcrowded conditions with poor sanitation. Specific preventive measures aiming at reducing the incidence of diarrhoea include the provision of adequate sanitation and in particular latrine building.

Overall needs

Coordination, needs assessment, monitoring and evaluation Health services are being provided by all functional health centres in Port-au-Prince, other affected areas and areas hosting displaced populations. More than 246 teams, including local organizations and teams from different countries and INGOs, are supporting government efforts to treat the injured and ill. This tremendous influx of human resources and supplies has generated a substantially increased need for coordination, with health partners as well as with local authorities. Good decision- making depends on the availability of information on needs, trends, risks, local and external resources.

It is essential that the support and assistance for the relief phase be linked to sustenance of essential health services. The revitalization and recovery of the health system needs to take place in a coordinated, coherent and comprehensive manner, so that no critical gaps are left during the transition from relief to early recovery.

In order to harmonize the reactivation of services and efforts to better rebuilding the health system, it is key to work in coordination with and under the leadership of the NHA. Indeed, the vision and leadership of the NHA with regard to the post-disaster needs assessment (PDNA) exercise must help to align efforts of key players in order to make the best possible use of the resources available to rebuild a more efficient and equitable health system.

Outbreak Control and Disease Surveillance Population displacement results in spontaneous, overcrowded resettlement areas, raising the risk of transmission of certain communicable diseases, such as vaccines preventable diseases, in particular measles and diphtheria, but also meningitis, HIV, TB, acute respiratory infections and diarrhoeal diseases. Un vaccinated children against measles have accumulated since last catch up campaign, because of low routine vaccine coverage’, so that reintroduction of measles is a concern which would take a heavy death toll given the poor nutritional status and low accessibility of curative care. A vaccination campaign in response to a diphtheria epidemic’s which took place from august to November 2009 with concentration of cases in metropolitan was interrupted by the earth quake. Tuberculosis (TB) and AIDS are among the leading causes of morbidity and mortality in Haiti. The country has the highest HIV and TB incidence in the Americas. In the acute phase of this emergency, the potential interruption to anti-TB and HIV treatment services and loss of patient follow-up is likely to be a significant problem.

Patients who have been injured during the earthquake or who will get injured as a consequence of the environmental hazards resulting from destruction are at risk of tetanus, which is already highly endemic in Haiti, both in its neonatal and post-neonatal forms. In addition, displaced populations may be at an increased risk of malaria and dengue due to an increased exposure to vectors. Epidemiologic surveillance, outbreak prevention, disease control measures and immunization are therefore essential.

Water supply and environmental health More than a million people are living roofless and many will remain poorly sheltered at the arrival of the rainy season in an environment of poor sanitation related to poor waste and excreta management and risk of water contamination.

The structural damage to the already weak water, sanitation and electricity systems, the interruption in service that occurred in water provision and solid waste collection and the increase in the number of patients and therefore the quantity of medical waste, solid waste and excreta in health care facilities have resulted in an increased environmental risk to health through inadequate quantity and quality of water, inadequate sanitation and the disruption in the cold chain systems (morgues, storage of medicines and food). Providing safe water is all the more essential for medical use, for hygiene and for human consumption. Diarrhoea is already a major contributor to the high rates of under-five mortality; PAHO/WHO estimates that diarrhoea accounted for 16% of under-five deaths in Haiti before

the earthquake of the 12 January 2010.

Damage to water infrastructure of health services, poor management of waste, including health care waste, can potentially expose health care workers, waste handlers, patients and the community at large to infection, toxic effects and injuries as well as increasing the risk of polluting the environment. The collection of solid waste and medical waste is essential to control the spread of vectors, and the collection of sewage limits the spread of infectious and water-borne diseases.

The current situation promotes the proliferation of vectors and therefore vector-borne diseases (mosquitoes, rodents and flies).

Basic health care services The destruction of health infrastructure and the displacements of population following the earthquake have increased the need of support with regard to the delivery of basic health care services in all health facilities, not only those directly affected by the earthquake. The capacity of the national health institutions must be repaired and strengthened, health facilities need to be re-equipped. It is necessary to ensure that comprehensive secondary and tertiary health services (system and structures) are available nationwide. Services must be reactivated as soon as possible in a new health system based on primary health care.

People affected by the earthquake currently living in overcrowded conditions and in a poor environment have a higher risk of airborne and waterborne diseases and particular attention should be paid on reducing avoidable excess mortality associated with this displacement situation.

The capacity for diagnosis and treatment is an essential component of the provision of health services. It is important to have functional laboratories with the capacity for clinical testing and epidemiological surveillance. In the same aspect the accessibility of blood for those patients who are in need should be strengthened by reinforcing the national capacity in blood collection, testing and adequate use of blood.

Key reproductive health interventions should prioritize safe delivery, acute care of the newborn, family planning and clinical management of rape. These interventions are critical components of the Minimal Initial Service Package (MISP) for reproductive health, an international standard which identifies life- saving interventions which must be implemented even in the acute phase of an emergency and sustained beyond this phase.

Non-communicable diseases (NCDs) are recognized as an important health concern in Haiti. Chronic conditions, including cancer, cardiovascular diseases, diabetes, chronic respiratory disease and neuro-psychiatric disorders, account for an increasing proportion of the disease burden. The priorities during the acute phase of this emergency are to minimize treatment interruptions.

Psycho-social support is essential for people who have lost their families and their property. It is important to ensure that mental health patients continue to receive assistance and that culturally sensitive psycho-social support is available at community level. Mental health and psycho-social needs are expected to increase significantly not only in the short term but also in the long term. Particular attention should be given to vulnerable groups such as children, women, those who suffered amputations, health care workers, and others.

Mobile clinics will be of increased importance, particularly as the rainy and hurricane season are rapidly approaching. Homes and shelters established after the earthquake are at risk to be flooded, just as much as the PHC clinics.

Development, retention and scaling-up of human resources are areas that need to be addressed as a key element to ensure quality health care provision.

Treatment and rehabilitation of injured patients The UN Convention on the Rights of People with Disabilities, which was ratified by Haiti on 23 July 2009 requires the provision of specific health services needed by people with disabilities, including early identification and intervention as appropriate, and services designed to minimize and prevent further disabilities.

It is imperative for a country like Haiti that is facing such catastrophic effects resulting from the earthquake to count on a specialized institute on medical rehabilitation. Indeed institute-based rehabilitation (IBR) – or medical rehabilitation – will play a role not only in the immediate but also in the mid- and long-run response. Rehabilitation capacity needs to be strengthened within the health sector at all levels: hospital / rehabilitation centres, primary care and community levels. Referral mechanisms and linkages between these levels need to be developed to ensure optimal outcomes. Medical rehabilitation is focused on restoring abilities, and should begin as soon as possible after emergency trauma care has been provided and continue until the person return to his/her community.

The functional recovery of people with injuries often involves complex rehabilitative measures, including not only coordinated input from a team of rehabilitation professionals (physiatrists, physiotherapists, occupational therapists, prosthetists, and orthotists) but also the involvement of orthopedic surgical teams that often needs to re-op cases that were treated during the emergency. In Haiti, there is no such rehabilitation medical institute, so, special efforts might be deployed to put in place one as soon as possible. Such a national institute for rehabilitation will contribute to reinforce the health system in order to better cope with the mid and long-run needs of the thousands who have been handicapped by the aftermath of the earthquake.

Beside institutional rehabilitation services, development of some community-based rehabilitation (CBR) services for early identification, referral and support will be essential. The essential psycho- social support that is to be offered to patients in the process of rehabilitation must to go hand in hand with the reactivation of the basic health services.

Essential drugs and medical supplies A large number of hospitals and other health facilities lost their stock of medicines and medical supplies during the earthquake. The loss of these stocks as well as the need for additional essential drugs and medical supplies due to the number of wounded after the earthquake needs to be addressed. In addition, a large number of the response agencies that arrived in Haiti did not come prepared to face the scale of the disaster and are obtaining their medicines and medical supplies from the PAHO/WHO Essential Medicine Programme (PROMESS). Furthermore, as the central medical store PROMESS is also receiving donations from different bilateral donors that provide supplies to PROMESS that are to be further distributed, there is a need to increase the operational capacity of PROMESS to be able to respond to this new challenge. In addition, during the emergency period, it is very important for PROMESS to get an estimate of the needs not only in Port-au-Prince, but throughout the country. PROMESS is strengthening its relationship with partners in health involved in the supply chain management, and will try to bring all partners on board, in close collaboration with MoH. The development of a strategy to push deliveries to the field must be accompanied by rapid assessment of institutions and organizations beneficiaries of the aid.

Objectives and activities The overall objective of the intervention is to save lives and prevent further deterioration of public health conditions in the earthquake-affected areas. The Health Cluster will work with the NHAs to ensure a coordinated response to mitigate the avoidable morbidity, mortality and disability of the Haitian population related to the earthquake and subsequent population displacement. In line with the other priority clusters, the Health Cluster has identified the priority short-term objective as follows.

The specific objectives and related activities include the following:

1) Effective coordination of the Health Cluster response, needs and disaster risk assessment, monitoring & evaluation, under the authority of the NHA

Activities • Coordination of international health assistance within the Health Cluster. • Support the Disaster Response Commission set up by the national Government. • Promote the establishment of an Emergency Operation Centre within the MoH. • Carry out rapid health assessments. • Conduct health assessments on needs, damage, impact and gaps in the assistance including monitoring and evaluation. • Monitor mortality and morbidity trends, set up early warning systems. • Map local resources available as well as external support including the foreseen length of that support. • Assess risks and initiate disaster risk reduction activities.

Indicators • Information available for decision-making: disaggregated information on institutional assessment, trends, service provision, mapping and state of local health structures, activities and location of international cooperation, and early warning system. • Percentage of steering role functions reaching “good capacity”, as measured by established guidelines, by the MoH&P (baseline n/a, target 20%).

2) Ensure outbreak control and disease surveillance

Activities • Re-establish the capacity of prevention and control of communicable diseases through the establishment of an emergency communicable disease surveillance system (Early Warning Alert and Response Network) and strengthen the routine disease reporting system. • Strengthen the HSIS. • Ensure immunization including mass vaccination campaign against measles, diphtheria, and tetanus and prepare response to outbreaks of communicable diseases. • Ensure vector-borne and zoonotic disease control activities.

Indicators • Sentinel sites reporting rate on communicable diseases occurrence (baseline n/a, target 60%). • Vaccines coverage (MR, DPT, DT) (baseline n/a, 90% of targeted populations). • Percentage of targeted families (in temporary settlements) provided with a mosquito net (baseline 0, target 95%)

3) Ensure adequate water supply and environmental health

Activities • Follow-up on the provision of safe water of sufficient quantity in health care facilities. • Ensure that good health care waste management techniques are adhered to. • Follow-up on the provision of adequate sanitation health care facilities. • Technical cooperation for the incorporation of integrated vector control management techniques into health care facilities. • Technical cooperation for hygiene promotion and health education in health care facilities.

Indicators • Percentage of public hospitals with water quality test results that reach guidelines values 80% of the time (baseline n/a, target 60%). • Percentage of public hospitals where hygiene education training activities are carried out monthly (baseline 0, target 60%). • Percentage of public hospitals with a sanitation strategy (baseline 0, target 50%). • Percentage of public hospitals with a comprehensive health care waste management strategy defined (baseline 0 target 60%).

• Percentage of hospitals where integrated vector control management training is carried out (baseline 0, target 80%). • Number of departments in which a human rabies surveillance system is established (baseline 0, target 5).

4) Re-activation of basic health care services for a more integrated health system base in primary health care

Activities • Proper and timely management of communicable diseases, particularly water and air-borne. • Emergency basic repairs to health facilities/temporary health facilities. • Strengthening non-affected health facilities to serve the affected population. • Ensure continuity of primary health care services, including reproductive health (including emergency obstetric and neonatal care; maternal and child health, and prevention and management of sexual violence) and including treatment against tuberculosis and HIV/AIDS. • Support the management of chronic diseases. • Support the provision of mental health and psycho-social support according to internationally agreed guidelines (Inter-agency Standing Committee [IASC]). • Establish and strengthen mobile clinics for primary health care. • Support human resources to ensure health delivery and re-equipping affected health facilities. • Support diagnosis and treatment services (blood bank, laboratory, X-Ray, imagery). • Prevention, screening and treatment of acute malnutrition.

Indicators • Percentage of public network hospitals providing basic health services, as recommended by WHO (baseline 16, target 60). • Number of mobile clinics activated and distributing PHC packages (baseline 0, target 80). • Proportion of institutional deliveries (baseline 24%, target 30%). • Percentage of biomedical investigation lists that are undertaken by national public health laboratory (baseline, target 80%). • Percentage of biomedical investigation lists that are undertaken by the departmental public health laboratories (baseline, target 50%). • Quantity of blood collected from voluntary donors (baseline 75%, target 90%).

5) Effective treatment and rehabilitation of injured patients

Activities • Support the treatment of injuries and emergency services including referrals of patients. • Ensure the access to a free orthopaedic unit (follow-up of patients). • Ensure the proper functioning of at least one specialized institute on medical rehabilitation (IBR). • Set up community-based rehabilitation services (CBR). • Ensure the availability of assistive devices and technologies such as wheelchairs, and prostheses. • Support mid- and long-term training for human resources rehabilitation specialists (physiatrists, physiotherapists, occupational therapists, prosthetics, and orthotists) as well as orthopaedic surgeons and nurses.

Indicators • Percentage of people with physical impairment that have had access to rehabilitation services (baseline 0, target 60%).

6) Ensure availability of essential drugs and medical supplies

Activities • Provide essential medicines, surgical and trauma kits, essential medicines and health supplies based on assessments. • Ensure the proper functioning and development of the PAHO managed Haiti's central procurement agency for drugs and pharmaceutical supplies (PROMESS).

Indicators • Number of hospitals with most critical drugs and medical supplies on hand (based on established list) based on on-site assessments (measured quarterly) (baseline = n/a, target = 100). • Value of medicines and medical supplies distributed. • Percentage of hospitals and departmental depots that meet international standards of good drug management.

Throughout health interventions, it is important to ensure that gender equality and other cross-cutting issues are addressed including by: ensuring needs assessments include gender analysis and collection and analysis of sex and age disaggregate data as well as data on those with specific priority needs (including physical and mental disability); ensure gender balanced assessment teams; ensure response design takes into account the different needs, potential barriers, and ensure equal access to health services; ensure women and adolescent girls and boys are included in planning and implementation of health sector activities; implement MISP for RH in crises including providing non- stigmatizing care for survivors of sexual violence; ensure that communication strategies are developed and implemented to highlight the specific health risks affecting women, men, boys and girls including specifically targeting adolescent girls and boys; ensure coordination with other sectors and incorporation of cross cutting issues, ensure health services are accessible to women and children (girls especially) (e.g. setting up private consultations rooms for women and girls, recruiting female staff were possible). Ensure that communities (women, men, boys and girls) are aware of how and where to access needed health services.

Table of coverage per site A link to the list of health sites and coverage per site is available from the Health Cluster page on OneResponse: http://oneresponse.info/Disasters/Haiti/Health/Pages/default.aspx

Sectoral monitoring plan Health Cluster meetings are taking place on a daily basis, the sub-groups of the Health Cluster (basic health services and clinics, hospitals, information management) meet twice a week. Several working groups are established in order to address special health topics, also organized by regions. A situation report and Health Cluster Bulletin which provide information about the health situation and progress made is regularly issued. Assessments and field visits are ongoing.

4.5.5 FOOD AID Cluster Lead Agency World Food Programme (WFP) Cluster Partners ACDI/VOCA, ACF, ADRA, ACTED, Caritas Haiti, CESVI, Concern, Convey of Hope, CRS, CARE, Goal, Government of Haiti, Haitian Red Cross, Islamic Relief Organization, IMC, Love Child, Médecins Sans Frontières, Première Urgence, Oxfam, Samaritan’s Purse, SC, The Salvation Army, Terres des Hommes (TdH), UNICEF, World Relief Haiti, World Vision and Welthungerhilfe (GAA) Number of Projects 6 Cluster Objectives The Cluster has aimed to meet the immediate food needs of the most vulnerable populations through the provision of ready-to-eat foods. Following this, and running in tandem with relief efforts, the Cluster aims to provide targeted food assistance to vulnerable communities in hospitals and orphanages through mobile distributions and organized community kitchens for the provision of wet feeding. A gradual transition from general food distributions to food- and CfW activities is planned, as relief gives way to recovery. Beneficiaries 2,000,000 people Funds Requested $480,418,546 Contact Information [email protected], [email protected]

Beneficiaries Category Female Male Total IDPs in host families/ communities 250,000 150,000 400,000 People with destroyed shelter 550,000 450,000 1,000,000 Individuals with medical conditions 65,000 35,000 100,000 Children under-five 300,000 200,000 500,000 Totals 1,165,000 835,000 2,000,000

Needs Analysis The immediate strategy for the first one-two week period was to provide ready to eat foods for the most vulnerable people. In tandem with this, the cluster members have established community cooking facilities to allow for the cooking of general food rations, and have moved to a systematic fixed site distribution network. The programmatic focus of activities will move towards relief and recovery as the operational situation permits.

The Food Aid Cluster made a strategic decision to move from high-energy biscuits (HEBs) and meals ready-to-eat (Mares) to large-scale rice distributions after the immediate emergency response. Subsequently, a fixed site distribution network has been established with the aim of providing a two- week food ration to an estimated two million Haitians through 16 distribution points across Port-au- Prince. As the food availability situation stabilizes, Food Aid Cluster members are planning to undertake more targeted activities including food and cash-for-work (CfW) activities to support early recovery and rehabilitation activities in both the urban and rural affected areas. In specific terms, the approach of the Food Cluster encompasses the activities outlined below.

In addition to ongoing assessment activities, it is expected that a full survey and assessment of the situation of orphaned children and the impact of the earthquake on the capacity of residential orphanages, half-way houses and street shelters will be made to ensure the ability of these institutions to cope with the additional pressure created by the larger number of beneficiaries for such institutions, including ways in which the members of the Food Cluster can support such institutions.

Meet immediate food needs and increase household consumption Food Cluster partners have been distributing food to an estimated two million people affected by the earthquake. Initially provided through mobile ad-hoc distributions in areas where populations have temporarily settled, food assistance is now being provided through 16 fixed sites, under the leadership of the Haitian Government and in close cooperation with MINUSTAH, the US military and a group of partner NGOs. Outside Port-au-Prince, earthquake-affected people in Léogâne and Jacmel are also receiving a combination of cooked meals and food rations. As soon as possible, food assistance will

become increasingly prioritized to particularly vulnerable groups, and vouchers will be introduced as reliable market systems are established. Affected but able-bodied people requiring continued support will be reached through more conditional forms of assistance such as food or CfW activities.

Support recovery through the restoration of key infrastructure and rural livelihoods Food Aid Cluster actors will support food and CfW activities. In the urban areas, these will be focused on the immediate restoration and protection of livelihoods, including the removal of debris from schools, dwellings, streets, drainage lines, as well as labour support to the separation of debris at dumping sites, and repair of roads and other broken infrastructure. In rural areas, a combination of cash and food-for-work (FFW) is needed to help rehabilitate rural roads, small-scale irrigation facilities, food storage and support other efforts to prevent further soil erosion, taking into account that these low resilient communities are further strained by the influx of earthquake-affected people from the capital. Government estimates that 500,000 people have left the city, many heading to Artibonite, itself a disaster-prone and severely degraded area. In addition to traditional food and CfW management structures, a Technical Assistance Facility (United Nations Environment Programme [UNEP]) will provide design and on site assistance to ensure waste management and catchment rehabilitation works are well designed and implemented.

Reduce and prevent child malnutrition Malnutrition is a pressing concern in Haiti (see Nutrition Response Plan). Food Aid Cluster partners will seek to deliver the best possible nutrition through their food rations, and will introduce appropriate complementary feeding programmes for nutritionally at risk populations. This will involve: provision of a blanket ration of Plumpy Doz to children under-two to prevent an increase in acute malnutrition and to support growth; treatment of moderately malnourished children under-five through a supplementary feeding ration consisting of a ready to use supplementary food, supplementary plumpy; distribution of micronutrient powder (aka sprinkles) to children 24-59 months and pregnant and lactating women to supplement their daily diet in order to meet nutritional requirements, and prevent an increase in micronutrient deficiencies. These activities will be done in close coordination with other agency health, water and sanitation and nutrition training activities.

Facilitate social stabilization Food Aid Cluster partners will undertake emergency school feeding to ensure that over 800,000 children enrolled in schools have access to food. This effort to attract children to school, keep them there and help them learn will contribute to the stabilization of the situation and a sense of normalcy, while also providing hope to struggling households through the investment in their future. WFP and other Food Cluster partners successfully scaled up school feeding in Haiti in 2008 to provide a critical safety net for vulnerable populations affected by the high food prices and recovering from natural disasters, and can do so again to support the earthquake recovery.

Objectives • Save lives in emergencies and reduce acute malnutrition caused by shocks to below emergency levels. • Reach vulnerable groups and communities whose food and nutrition security has been adversely affected by the earthquake. • Protect livelihoods and enhance self reliance in emergencies and early recovery.

Food aid beneficiary selection has been coordinated with the Government, local authorities, UN agencies, NGOs, community associations and local leaders. Targeting criteria focuses on: families living in makeshift shelters; families living with host families; families who lost their homes; and female, or child-headed households. General food distributions are being provided as a family ration for five members to eligible families living in their communities or still in shelters, according to these selection criteria.

Food Aid Cluster activities aim to provide assistance to two million people made food-insecure due to the earthquake. Initial provision of assistance has focused on ready-to-eat food (meals-ready-to eat and HEB) distributions. In tandem with these relief activities, the Food Aid Cluster has distributed

relief food items to hospitals and orphanages as well as organized community kitchens for the provision of wet feeding.

Indicators Improved food consumption over the twelve-month-period for targeted earthquake-affected households, assessed based on the following indicators: • Household food consumption score; • Actual amount of food distributed by commodity type and activity as a percentage of planned distributions; • Actual number of women, men, girls and boys receiving food and non food assistance by activity as percentage of planned beneficiaries.

Table of proposed coverage per site

Site/Area Organization ACF, ADRA, ACTED, Caritas, Concern, CRS, CARE, Goal, Government of Haiti, Haitian Red Cross, MSF, Oxfam, SP, SC, TdH, Welthungerhilfe (GAA), WFP, WV, Greater Port-au-Prince DR Government, International Relief (IR), World Relief Haiti, The Salvation Army, Convey of Hope, Agricultural Cooperative Development International / Volunteers in Overseas Cooperative Assistance (ACDI/VOCA), Première Urgence (PU) Orphanages International Medical Corps (IMC), SP, UNICEF, WFP Léogâne Welthungerhilfe (GAA), WFP, ACTED, SCF, ACF, CARE Departments with IDPs (South, North, North Est, ACF, CRS, CARE, Goal, Government of Haiti, Haitian Red Cross, MSF, Oxfam, SP, Central Plateau, Grand SC, WFP, WV, Cooperazione e Sviluppo (CESVI), ACDI/VOCA Anse, Nippes, etc.) DR border areas American Refugee Committee (ARC), Love Child, UNICEF, WV, WFP Jacmel, Grand/Petit Goave ACDI/VOCA, Welthungerhilfe (GAA), WFP UNEP Technical assistance facility for cash and FFW schemes

Sectoral monitoring plan Food Cluster meetings are taking place on a regular basis at the PaP level, with further Food Cluster subgroups organised to address the needs in specific areas. The Food Cluster members all have robust M&E systems which are being used to capture and assess output level indicators, as well as commodity tracking systems to provide timely and accurate information on food movements, storage and distributions. Assessments and field visits are ongoing. A Haiti emergency response lessons learnt exercise is planned.

4.5.6 NUTRITION Cluster Lead Agency United Nations Children’s Fund (UNICEF) Cluster Partners ACTED, ACDI-CIDA, ACDI-VOCA, ACF, ADRA Int'l, AOPS, AR, AVSF, AVSI, CARE, Caritas-Haïti, CEPAM, CFM, CMMB, CNP / HSC, CNSA, CNSA/DDASE, CONCERN, Coop Frances, CPNANu, CROSE, CRS, DDASE, Diakonie Katastrophenhilfe, FHI, FONDEFH, FSB, FTC, GHESKIO, HAS, HelpAge International, HP, IADBID, IMC, Inter Aide, Irish Aid, ITECH, IYCN/ CARE, IYCN/PEPFAR, LaC, MDM F, MDM Swiss, MDM-C, MEDAIR, MFK, MSF B, MSF-F. MSF-H, MSF-S, MSPP (MoH), OPS/OMS, OutReach, PAM, PESADEV, PiH, PSF, PSI, RI, Salvation Army, Save the Children, Scientology, SDSH/MSH, Terre des Hommes, US Army, USAID, USAID/PEPFAR, WC, WFP/PAM, WHI, World Bank, WVI Number of Projects 12 Cluster Objectives 1. To ensure rapid and comprehensive needs assessments are carried out to identify nutrition priorities, target groups and numbers in need of assistance and that these assessments form the basis for coordinated nutrition interventions. 2. To ensure timely, appropriate, reliable and effective nutrition responses at scale in Haiti through the coordinated actions of cluster implementing partners. 3. Integrate nutrition cluster coordination (NCC) and actions with other core clusters to maximize coverage and impact especially in food, water, sanitation and hygiene (WASH), protection and health. 4. To ensure that the existing capacity of national institutions is fully utilized in the response and those capacities are strengthened to respond to nutrition needs. 5. To ensure strategies and plans of action, take full account of nationally adopted and internationally agreed standards and best practices. 6. To ensure results and impact based monitoring, reporting, external communication and evaluation. 7. To ensure that gaps in emergency response are identified and communicated to country and global Nutrition Cluster partners as soon as these are identified and that appropriate action is taken. 8. To develop medium to long-term strategy for nutrition-relevant recovery with all cluster partners when time permits. Beneficiaries 1,326,920 children and women Funds Requested $43,453,946

These are estimated based on 2003 census data and nutrition surveys carried out in the 2008-2009 period. The following estimates form the basis for nutrition-related programme planning.

Category Beneficiaries Beneficiaries (if this is not the same as affected population)

Female Male Total Female Male Total Total under-five 241,800 161,120 402,920 Of which 0-12 months 42,260 28,400 71,000 Of which under-two yrs 99,000 66,000 165,000 Women of reproductive age 750,000 750,000 Pregnant women 60,000 60,000 Lactating mothers 114,000 114,000 Total 1,326,920

Needs Analysis Pre-crisis, the nutritional status of children and women in Haiti was poor. Chronic malnutrition in children under-five (stunting) was estimated at 32%, GAM prevalence was 4.5% of which 0.8% of under-fives were severely acutely malnourished and 60% of children (6-59 months) suffered from anaemia. In addition, the prevalence of low birth weight was estimated at 25%, a strong indication of poor maternal nutritional status and 46% of women (15-49 years) suffered from anaemia. Whilst breast feeding was widely practiced, the rate of exclusive breast feeding was estimated at 46%. An estimated 1.8 million people were highly food-insecure pre-crisis and childhood infections and communicable diseases were widespread.

The earthquake has significantly disrupted nutrition-related services, dramatically increased food insecurity, disrupted livelihoods, increased the risk of infection and communicable diseases, disrupted feeding practices and, consequently, has placed very large numbers of infants, young children, pregnant and lactating women and other population groups (elderly, disabled and injured) at increased risk of mortality and malnutrition particularly acute malnutrition and micronutrient deficiencies. The need for nutrition coordination is highly evident to ensure all implementing agencies, in tandem with the Government are assessing and meeting nutrition priority needs to avert further loss of life and ensure the nutritional needs of vulnerable groups are being met. There is urgent need for the scale up of therapeutic management of severely malnourished children, supplementary feeding for moderately acutely malnourished children, infants and young child feeding promotion and support, and nutrition support for pregnant and lactating mothers.

Objectives The Haiti emergency response will target the population directly affected by the earthquake in Port-au- Prince, Léogâne, Jacmel and in other areas of the country, estimated at three million living in temporary settlements, in residential child care facilities, institutions such as hospitals and nursing homes and with host families. Within the areas that are most affected, both IDPs and affected residents are in need of nutrition services. Within the two most affected Departments, Ouest (pre- earthquake population 3,724,442 - 2010 projection) and Sud Est (pre-earthquake population 555,375 - 2009), a total of 577,246 infants, children and pregnant and lactating women have been affected. Based on a GAM prevalence of 4.5% and SAM prevalence of 0.8%, in the affected population of children aged 6-59 months prior to the emergency, there are an estimated 15,967 children with acute malnutrition of which an estimated 2,839 have SAM and in infants under < 6m of age, 1,549 have acute malnutrition and 275 have SAM. These children are at a very high risk of mortality if left untreated.

A Nutrition Cluster has already been activated and is coordinating the efforts of approximately 38 implementing partners. The strategic planning, priority setting and meetings of the NC have the active oversight of Ministry of Health (MoSPP) senior nutrition staff. At the global level, regular meetings are held with cluster partners to coordinate efforts, share information and support the country cluster. Key guidance and statements have been generated from global level for adaptation at country level. Two specialist cluster sub-groups are actively coordinating on infant and young child feeding and treatment of severe acute malnutrition (in patient and community based). In addition to the cluster in Port-au- Prince sub-clusters have been activated in the two other main affected areas, Léogâne and Jacmel where significant needs are also evident.

The main target population group is children under-five, pregnant and lactating women as well as orphans and unaccompanied children. Where other nutritionally vulnerable groups are identified, for example the elderly and disabled, these groups will also be targeted. Areas of priority are as follows: • Children (U5s) in residential care centres; • Children (U5s) in temporary settlements (camps); • Children (U5s) in hospitals; • Pregnant and lactating women; • Disabled/injured and elderly people.

In order to ensure the treatment of existing cases of acute malnutrition and to prevent an increase in the prevalence of acute malnutrition, the immediate focus is on the scaling up of critical nutrition response programmes as follows: • Supplementary feeding (wet and dry/blanket and targeted); • Active case-finding (screening) of children with acute malnutrition alongside blanket supplementary feeding programmes; • Treatment of acute malnutrition including in-patient care of those children requiring treatment of severe acute malnutrition with complications and treatment programming in the community (community management of acute malnutrition or CMAM) including the mapping of referral centres for the treatment of SAM;

• Infant and young child feeding including the protection and support for breastfeeding, complimentary feeding and, where needed, support for non-breast-fed infants; • Vitamin A supplementation, (and zinc/oral rehydration salt [ORS] and de-worming); • Control and coordination of breast milk substitutes donations; • Capacity-building in infant feeding and treatment programming; • Household support programmes (for example, provision of cooking sets in order to secure food utilization); • Nutritional assessment and screening aimed at identifying the needs of other potentially nutritionally vulnerable groups, particularly the disabled, the injured and the elderly.

In addition to the above, the response will continue to map, monitor and assess the coverage of services for the target population groups and ensure that this information is disseminated and used to identify critical gaps in programming. Continuous mapping and monitoring of nutritional services and partners’ capacity will form the basis of strategic supplies planning, identification of unmet needs and to mobilise resources at global and country level to respond to unmet needs.

Where populations are located in large settlements (displaced populations), the implementation of interventions will have a more structured approach and benefit from assigning lead agencies to cover specific nutrition areas of expertise. Recognizing that in the initial first three months that not all needs will be met and that once population movement has reduced, other important areas of programming can be implemented, the focus will also include the following: • Increase the number of implementing partners supported to identify needs and carry out nutrition-related activities; • Support and work with civil society and community-based groups to help cover the unmet needs and to share information with those affected to increase awareness of the range and location of nutrition-related services that they can access; • Expand the referral systems for detected cases of severe and moderate acute malnutrition; • Develop capacity of government staff and national organizations through training and increased awareness of the guidance for the key nutrition activities including infant and young child feeding, CMAM and in-patient treatment of SAM. This will be approached strategically with WHO taking the lead on assessment of training needs and capacity development issues; • In order to identify gaps that are not addressed and better tailor make nutritional programme response a comprehensive nutritional assessments will be done which will include also host families where significant numbers of displaced people are located; • Surveillance programme will be designed and sentinel sites will be identified (health facilities, mobile clinics, baby tents, etc) to technical support for the analysis and interpretation of data; • Micronutrient supplementation for pregnant and lactating women and children aged 6-59 months as well as micronutrient supplementation running parallel to the general food distribution programmes of WFP and implementing partners.

Efforts will also be placed on establishing more integrated and sustainable approaches to protecting the nutritional status of the most vulnerable and will include integration of nutrition related services in health clinics (child growth monitoring, counselling etc), with food security and livelihoods programmes to ensure households with the most nutritionally vulnerable are targeted and with a longer-term strategic focus on maternal and infant and child feeding to increase the prevalence of exclusive breast feeding, awareness of appropriate complimentary feeding and care of pregnant and lactating mothers.

Indicators

Deliverable in first three months • Nutrition information surveillance systems in place in worst-affected areas. • A minimum of 50% severely malnourished children receive community-based therapeutic treatment, of which 10% will benefit from treatment in health facilities and full coverage of all severely malnourished children as soon as possible. • Of the estimated 71,000 children under-one, caregivers of 30% (35,500), (19,500), apply

appropriate feeding practices as a result of counselling, with special attention on behaviour changes influences by males in the household followed by 100% coverage within six months. • Up to 50% of moderately malnourished children receive treatment, with 100% receiving treatment within six months. • 70% of all children aged 6-35 months receive supplementary feeding rations and micro- nutrients. An estimated 400,000 children aged 6-7 years receive vitamin A supplementation within six months. • 90% of children aged six months to five years receive the package of interventions provided in the first round of Child Health Days/vaccination campaign, including screening for acute malnutrition, vitamin A supplements and deworming. • Special nutrition support assessed and provided to meet the needs of the elderly and the disabled and injured. • Nutrition support is provided to 90% of children in residential care centres. • Treatment of diarrhoea is provided including zinc. • Comprehensive nutritional assessment carried out identifying magnitude and geographical location of nutritional burden and the response capacities of government and operational agencies. • The Nutrition Cluster partners have worked closely with other key clusters including food aid/security, protection, health and WASH to support integrated programming particularly in baby friendly tents, institutions, camps and in-patient facilities. • 300 baby friendly tents ensuring mothers are provided with appropriate infant feeding counselling, nutritional support and protection to optimize infant and child nutritional status and their own nutrition-related needs.

Deliverables in 12 months • Of the estimated 71,000 children < 1 year of age, caregivers of at least 60% apply appropriate feeding practices, including achieving an exclusive breastfeeding rate of at least 50%. • Out of an estimated 60,000 pregnant women and 114,000 lactating women, 100% are receiving full micronutrient supplementation (Vit A, folic acid, iron) as well as other nutrition supplements as required. • 80% of the estimated 403,000 children under-five are screened with mid-upper arm circumference (MUAC) for acute malnutrition. • All severely malnourished children in affected populations receive community base treatment of which 20% will benefit from treatment in health facilities. All treated children are automatically enrolled onto supplementary Feeding Programme (SFP) to ensure continued nutritional support. • At least 80% of estimated 4,850 severely malnourished children in affected populations receive community-based treatment of which 20% will benefit from treatment in health facilities. All treated children are enrolled onto SFP to ensure continued nutritional support. • At least 80% of the estimated 27,200 moderately malnourished children in affected population receive supplementary food and appropriate treatment and there is active case finding and referral where required. • 90% of children aged six months to five years receive the package of interventions provided in the second round of Child Health Days, including screening, vitamin A supplements and deworming. • All children aged 6-59 months receive micronutrient powders (sprinkles). The nutrition response capacity of national government (200 health and nutrition workers) is assessed and strengthened to address the main nutrition-related needs over the medium term. • All operational agencies are fully informed and programmes are guided by existing and newly developed operational guidance, standards and protocols for treatment programmes, infant feeding counselling, management of breast milk substitutes. HIV and infant feeding and all other nutrition-relevant actions. • All operational agencies are coordinating their efforts to ensure the main nutrition-related needs are adequately assessed and monitored and appropriate actions are taken at scale.

Outcomes The overall aim of the nutrition response is to ensure that the nutrition status of the affected population does not deteriorate and associated mortality is avoided through community-based and centre-based programmes, the risk of increased acute malnutrition amongst children under-five is prevented and those children already malnourished are treated. Infant and young child feeding counselling services are provided and the micronutrient status of children under-five and pregnant and lactating women is optimized and their daily food needs are met. Other potentially vulnerable groups such as the elderly and hospitalized injured are identified and met. A strategy for revitalizing and building national/resident nutrition capacity is in place.

Table of proposed coverage per site

SITE / AREA ORGANIZATIONS Greater Port-au-Prince ACF, ADRA, ACTED, Concern, CRS, CARE, Goal, Government of Haiti, Haitian Red Cross, ICRC, MSF, Oxfam, SP, SC, TdH, Welthungerhilfe (GAA), WFP, WV, World Relief Haiti, ACDI/VOCA Orphanages IMC, SP, WFP Léogâne Welthungerhilfe (GAA), WFP, ACTED, SCF, ACF, CARE

DR Border Areas ARC, Love Child, WV, WFP, Dominican Republic Government, Jacmel, Grand/Petit Goave ACDI/VOCA, Welthungerhilfe (GAA), WFP

4.5.7 AGRICULTURE Cluster Lead Agency Food and Agriculture Organization of the United Nations (FAO) Cluster partners MARNDR, CNSA, CARE, IRD, FLORESTA, ACDI VOCA, CROSE, AVSF, Diakonie, Welthungerhilfe, other NGOs active in rural areas Number of Projects 26 Cluster Objectives The overall objective of the Agricultural Cluster in Haiti is to ensure that following the 12th January earthquake, Food Security is safeguarded over the next 12 months on an increasingly sustainable basis. This will be achieved through a range of measures which include: • Seed and planting material distribution to those areas and households where it is known to be in short supply; • Livestock support for income generation; • CfW programmes to replace and rehabilitate agricultural infrastructure whilst simultaneously increasing food access through the market; • Targeted agricultural input support to urban households to increase self-sufficiency in food production; • Enhanced coordination of agencies supporting agricultural and food security recovery. Beneficiaries Over 200,000 farming families, displaced population in rural areas, and urban affected people. Projects will target women-headed households (over 50,000), most vulnerable (food-insecure, elderly) and earthquake handicapped (about 40,000). Funds Requested $70,640,554 Contact Information [email protected]

Beneficiaries

People in Women-headed Estimated no. of women need of households Department Displaced to amongst the displaced shelter Vulnerable population individuals, food- insecure, elderly, handicapped Artibonite 162,509 81,255 10,000 Centre 90,997 45,499 Grande-Anse 0 98,871 49,436 Nippes 33,350 16,675 15,000 Nord 13,531 6,766 Nord-Est 8,500 4,250 Nord-Ouest 0 45,862 22,931 15,000 100,000 Port-au- Prince Ouest 1,215,790 32,253 16,127 35,000 Ouest & rural areas Sud 25,532 12,766 15,000 Sud-Est 212,42 - - 20,000 Households TOTAL 1,237,032 511,405 255,703 (210,000) Source: DPC, 15 February 2010

Needs Analysis Following the earthquake, the majority of initial assessments focused primarily on urban areas. However, subsequent assessments in rural areas revealed a range of direct and indirect impacts and related needs. Agriculture Sector partners – including the MoA, Natural Resources and Rural Development and the National Food Security Committee, the FAO and a large number of international and national NGOs and community-based groups – examined direct and indirect damage to the sector, impacts on agricultural factor input and output markets and the overall effect on livelihoods and food security, in particular of the most poor and food-insecure rural households.

Direct damage to the Agriculture Sector • Housing and irrigation. In addition to cities (Port-au-Prince, Léogâne, Jacmel) surrounding rural areas suffered significant damage to farmers’ houses, varying from 30-60% damage, depending on the proximity to the earthquake epicentre (West, South East, Nippes and Grande-Anse departments). In particular, there was widespread destruction of cement and brick houses on the irrigated plains around Léogâne, Petit Goave and Grand Goave and in the mountain areas of Bainet, La Vallee, Cote-de-Fer, Jacmel, Cayes-Jacmel and Marigot. Irrigated areas are characterized by higher income levels than surrounding rain-fed mountain agricultural areas. In many cases, households lost vital farming tools, seeds and food reserves under the debris. In dryland areas, characterized by higher poverty levels than the irrigated plains, houses are typically constructed from a mix of adobe and wood. In many instances, the adobe was damaged, though housing structures often remained standing but will require substantial repair. Given that remittances are typically much lower in rural areas especially amongst poor households, replacement of lost assets and house repairs will be financed by agricultural incomes. In addition, field assessments showed partial damage to primary, secondary and tertiary irrigation structures, most commonly through localized earth and debris blockages.

Indirect damage to the Agriculture Sector

By far the greatest impact of the earthquake on the agriculture sector resulted from indirect effects. In particular: • Displacement By mid-February, official government estimates indicated that almost 462,000 people have migrated from the worst-affected urban areas, in particular Port-au-Prince and Léogâne. Ongoing assessments undertaken by Agriculture Cluster partners would seem to confirm that significant numbers of displaced people are staying with host families in rural areas. In total, it is estimated that up to 150,000 households, typically poor and food-insecure, are hosting displaced men, women and children, throughout the country, in particular in Artibonite and Grand-Anse. Most of the people forced to leave urban areas are poor and less resilient, who, in turn, migrate to food-insecure and poor households within rural communities, and have caused increases in household size, ranging from 40% (Sud-Est, Centre and Artibonite) to over 120% (Nippes and Grand Anse).

The displacement is placing significant stress on the livelihoods of host communities and families, leading to extreme coping strategies including the consumption of food reserves, eating seeds, use of household cash savings and assets stripping. This, in turn, is putting strains on the ability of households to purchase inputs for the next cropping season, creating the potential for a vicious circle of reduced food production, reduced cash income and increased food insecurity.

• Collapse of agricultural input and output markets. In both rain-fed and irrigated areas, assessments with farm households, market intermediaries and retailers, indicated the virtual collapse of agricultural markets. In many areas, in particular the poorest farmers, expressed concerns about the non-availability of seeds for the March planting season (seeds for maize, green beans, and black and red beans), although, seed assessments undertaken in the south have suggested that sufficient quantities of local seeds may still be available in local markets. Throughout the country however, access to high quality planting material remains weak, although this was a persistent problem before the earthquake. Assessments indicate however, that seed suppliers, like many other economic actors, have been severely affected by the earthquake with many of them suspending their activity.

More significantly for the Agricultural Sector, has been the effect of the earthquake on agricultural output markets. Field work by Agricultural Cluster partners indicates declines in farm gate prices, ranging from 10-30% in the three weeks after the earthquake, and a significant decline in demand (ranging from 20-40%). Intermediaries and retailers have reported that food prices in larger urban centres have experienced only modest increases whilst price increases in smaller market centres have been slightly higher (e.g. flour has increased by over 40% and bread by over 100%

respectively in Nippes). The main problem affecting agricultural households however, has been the dramatic decline in demand: many farmers in the highly productive irrigated plains around Léogâne for example, reported that they were unable to sell their produce, including pigeon pea, maize, black and red beans and fresh vegetables, in traditional markets.

The assessments pointed to a range of factors driving the decline in demand. First and foremost, the number of people in Port-au-Prince and their purchasing power has been significantly reduced since the earthquake. Secondly, the earthquake has led to a liquidity crisis. Thirdly, given the availability of food aid assistance in urban areas, people are looking to invest in asset recovery and are reducing food purchases. Damage to small feeder roads, reduced availability of transport and increased transportation costs, along with damage to market intermediaries’ equipment have also further limited access to markets.

The effects are threefold: lower food production, falling agricultural incomes and reduced availability of food resulting from tightened agricultural output markets. These pressures will transmit into significant stresses on both agricultural livelihoods - in particular of the poorest rural households – and increased food insecurity in rural areas. In addition, in those areas and communities hosting large numbers of displaced men, women and children the impacts will be felt by both host families and displaced people.

Without immediate targeted and time-critical support, there is therefore significant risk of substantial reduction in food production and consequent risks for food security. The agriculture sector has identified a series of needs and related possible response options:

The key priorities are to: (a) Enable those living in and dislocated to rural areas meet food production and income needs from now onwards including the next two planting seasons; (b) Support the food needs of urban populations on a more sustainable and cost-effective basis as food aid is scaled-down; (c) Ensure that humanitarian actions in the Agricultural Sector are well coordinated.

Immediate support to crop production in rural and urban areas: Urgent support is needed to increase food production for 120,000 rural households, in particular, for both the March planting (primarily maize, beans, sweet potatoes, green beans, red beans) and for the August planting season (primarily millet, yam, cow pea, pigeon pea) and with emphasis in areas with high levels of displacement. In particular, support should focus on the supply of high quality planting material in those areas where further seed assessments indicate that they are not available in sufficient quantity. In addition, targeted urban agriculture input support should be provided to 100,000 households in Port-au-Prince.

Cash for agricultural infrastructure rehabilitation and improved land management: Host households require additional income to support additional displaced people. Similarly, IDPs require income to both support themselves and to begin replacing lost assets. In addition, increased liquidity will help stimulate local and national food markets. For this reason, there is a need for coordinated cash-for- work schemes targeted at the agricultural sector. Strong emphasis will be placed on using cash-for- work to strengthen preparedness within the agricultural sector for the forthcoming hurricane season through, for example, rehabilitation of productive agricultural infrastructure and land management practices. It is proposed that the CfW schemes should be directed primarily to displaced people in rural areas.

Strengthened agricultural and food security coordination: Effective humanitarian response for the agriculture sector will be built around strong leadership and coordination. Initial sectoral coordination has led to a series of integrated assessments and the development of a single needs-based strategy. There will be a need to build stronger collaboration around the theme of food security, in particular, through linking agricultural responses with food aid and shelter needs, in order to ensure a coordinated overarching response for food security. It will also be necessary to establish strong links

with early recovery, in particular CfW activities, to ensure that they reinforce the growth of agricultural markets, and the rehabilitation and recovery of productive infrastructure in rural areas. This will ensure that these investments will produce maximum stimulus and benefit to the agriculture sector in particular and food security in general. Experience in Haiti and elsewhere has demonstrated that effective sectoral leadership and coordination can only occur when sufficient investment is made to ensure that the required capacity is available.

Objectives The overall objective of the Agricultural Cluster in Haiti is to ensure that food security is safeguarded over the next 12 months on an increasingly sustainable basis. This will be achieved through five key intervention areas: • Seed and planting material distribution to those areas and households where it is known to be in short supply; • Livestock support for income generation; • CfW programmes to replace and rehabilitate agricultural infrastructure whilst simultaneously increasing food access through the market; • Targeted agricultural input support to urban households to increase self-sufficiency in food production, stimulate urban markets and support incomes; • Enhanced coordination of agencies supporting agricultural and food security recovery.

The outputs of these measures will be: • Seeds and tools distributed to over 100,000 rural families; • Vegetables produced by home/urban gardens for 100,000 urban families; • Additional income generated through agricultural activities in rural areas for over 30,000 people; • Over 50,000 CfW/days in rural areas supported that: (i) inject cash in rural households (displaced and hosts); (ii) enhance production capacity of rural infrastructure; and, (iii) reduce the risk of disasters linked to hurricanes through adequate preparation and cleaning of key infrastructures (water discharges, channels, drainages, rural roads gullies, ravines).

High quality inputs procured, whenever possible, in country (tools, seeds), will allow for the genetic preservation of local varieties. Purchases of seeds outside Haiti, in line with guidelines prepared by the MoA, Natural Resources and Rural Development, will ensure improved yields and increased food production per unit of land, thereby alleviating part of the pressure created by the displacement of population to the rural areas.

The main impact of the interventions will improved food availability resulting from increased agricultural production by poor, vulnerable rural households and urban families that lost their income sources and newly vulnerable earthquake-affected people who have generated their own food and income. New job opportunities in the rural areas through CfW and food selling, will help prevent asset stripping (animals, tools, land7) and reduce the burden of displaced population on host households in rural areas. Increased food production will reduce the risk of long-term food aid dependency and should ease food prices in local markets, which in turn, will improve food access by food-insecure households. In addition, urban households whose livelihoods have been seriously disrupted by the earthquake will have improved access to nutritious vegetables produced by urban gardening initiatives that will provide micronutrient rich fresh vegetables and sources of income for beneficiary farmers.

Project implementation will be undertaken by Cluster member organizations. However, there will be inter-cluster collaboration and common areas of work, particularly with regard to Nutrition, Food Aid, Shelter and Early Recovery and cross-cutting themes such as gender and environment. It is expected that coordinated interventions will be planned and implemented with partners from other clusters, including for example, Shelter (e.g. IOM, IFRC, NRC), Food Aid (e.g. WFP), Nutrition (e.g. UNICEF), Gender (e.g. GenCap) and Early Recovery (UNDP).

7 UNFPA bulletin #9 and field assessments undertaken by agricluster.

Indicators A series of process and outcome indicators will provide necessary qualitative and quantitative data that will feed the monitoring system in place and allow project managers to take corrective measures should projects need adjustments.

Measured Intervention area Process indicators Outcome indicators Assumptions by Seed and planting Number of Production increases material distribution households receiving directly attributable to to those areas and seeds and planting seed and planting households where material. material distribution. MARNDR, this is known to be in FAO and Water available short supply. Targets: NGOs (Not drought), Haricot noir – increased hurricane season by 25%; short cycle not affecting crops, maize by 20%. stable exchange Targeted agricultural Number of targeted Quantity increases in rate, not social input support to households receiving selected vegetables in tensions, political urban households to inputs and training. urban markets. stability and not increase self- outbursts of sufficiency in food # of home gardens in violence. FAO production, stimulate Port-au-Prince urban markets and (extrapolated from a support incomes. sample from two neighbours covered by the project). CfW programmes to Number of targeted Km of irrigation canals NGOs replace and individuals covered rehabilitated; # ravines rehabilitate by the schemes. rehabilitated kms of agricultural drainages cleaned of infrastructure whilst debris and sediments;# simultaneously of trees planted. increasing food access through the market. Livestock support for Number of targeted Production of selected MARNDR, income generation. households actually livestock. FAO and reached. NGOs Livestock market activity in selected areas. Enhanced Number of Coverage of critical FAO coordination of coordination geographical and agencies supporting meetings. thematic areas achieved agricultural and food with no duplication or security recovery. gaps.

The proposed areas that will be covered by monitoring efforts of cluster agencies are based on both the assessed needs and gaps in existing support on the one hand, and the capacity of Agriculture Cluster partners to deliver and monitor projects and activities. The responsibility of project performance monitoring will be shared among the different cluster partners. Each organization will be required to establish a partnership with one or more local NGOs active in the project area in order to ensure improved understanding of local situations and heightened impacts and strengthened project outcomes. These partnerships will also contribute directly to increased transparency and accountability to the monitoring process.

Geographical coverage for monitoring SITE / AREA ORGANIZATIONS South East AVSF, Veterimed, CROSE, ACDI VOCA, SI, FAO South World Concern North West World Concern, AAA, CARE Nord Floresta North East FAO, VSF Ouest FAO Artibonite CARE Grand Anse PADI La Gonave Concern Worldwide Nippes OXFAM

Sectoral monitoring plan The sectoral monitoring plan is based on three main principles: • Comparative advantage of the different organizations with regard to technical expertise; • The capacity, geographical reach and technical area of cluster partners based on the 3W mapping and related assessment of cluster actors; • The process and outcome indicators described earlier.

The sectoral monitoring plan will be an evolving plan that will gather data at field level of the different actors performance, the achievements and the results obtained in relation to the objectives and the expected impacts. Project monitoring will be two-pronged: (i) from individual organizations with regard to project donors; and, (ii) from the Cluster Coordination Unit with regard to the Government of Haiti and the UN Humanitarian Coordinator and the UNCT in general. The results from the monitoring will influence project managers and will be fed into the project review process at two main points: at mid- term (from four to six months after project inception and taking into account harvest time for crop indicators) and at projects end.

In order to have an effective monitoring system in place, the Cluster Coordinator will undertake regional meetings with the focal organizations for each of the ten departments. In the monitoring process, the organizations will send their reports to the donors and to the Cluster Coordination Unit that will provide guidance to the different organizations in terms of the necessary data to report to the UN and the Government of Haiti. The Cluster Coordinator will liaise with other clusters, mainly Early Recovery, Nutrition and Shelter to ensure that the indicators and monitoring system in place provide useful information for coordination and comprehensive livelihoods restoration at national level.

4.5.8 EARLY RECOVERY Cluster Lead Agency United Nations Development Programme (UNDP) Cluster Partners UNDP, UNEP, United Nations Development Fund for Women (UNIFEM), United Nations Organization Satellite (UNOSAT), International Labour Organization (ILO), United Nations Human Settlements Programme (UN HABITAT), SC, IOM, World Meteorological Organization (WMO) Number of Projects 30 Cluster Objectives 1) Immediate creation of employment and livelihood opportunities. 2) Rubble removal, sorting and recycling. 3) Disaster Risk Reduction and emergency response. 4) Emergency support to key authorities’ coordination capacities. 5) Humanitarian corridor: improvement and preparedness for rainy season. 6) Environmental impact mitigation. Beneficiaries 500,000 people (40% women) from affected communities are provided with short-term employment opportunities, safety nets, or grant opportunities over a 12-month period, indirectly benefiting up to 2.5 million people Funds Requested $157,564,378 Contact Information [email protected], +50937662160

Needs Analysis The 12 January 2010 earthquake has caused the death of more than 217,000 people and the displacement of around 1,000,000 people into makeshift and organized camps throughout the city of Port-au-Prince, as well as in surrounding departments, such as Artibonite, Centre and Sud Ouest. Hundreds of thousands of families have lost their main breadwinner, while thousands of people will live with severe permanent disabilities. This tragedy has also caused the disruption of livelihoods for hundreds of thousands of people throughout the country, and the destruction of a very large number of private establishments, micro, small-scale, medium and large enterprises.

The large displacement of people outside of Port-au-Prince has contributed to alleviate the pressure on the metropolitan area and public authorities are looking at ways to support displaced populations where they have settled. However, this large influx of population in provincial cities and rural areas is placing a strain on host communities that also needs to be addressed.

The earthquake has also caused the destruction of numerous houses and buildings throughout the affected cities. Public sources quote up to 200,000 buildings in Port-au-Prince, while a UNOSAT assessment released at the beginning of February 2010 estimates that the earthquake has affected more than 30% of the buildings just within the boundaries of the municipality of Port-au-Prince. Entire neighbourhoods have been wiped out, and numerous building are hanging ruins that are posing security hazards to the population that lives amidst them. Affected buildings will need to be identified, demolished, rubble collected, sorted and recycled in a strategic and environmentally sound manner. This is a daunting task.

The upcoming rainy and hurricane season and their related risk of flooding, which will certainly affect vulnerable communities, is also placing a compounding threat on already affected and fragile communities. Displaced communities in particular, are at risk. Immediate support to the Civil Protection Directorate is required to enable them to perform their annual disaster risk reduction activities in anticipation of the rains and hurricanes season.

Public authorities are gradually recovering from the aftermath of the earthquake, and are positioning themselves to respond to the immense challenges ahead. However, an immediate support to strengthen their coordination, decision-making and risk management capacity is needed in order to enable them to better coordinate relief and recovery operations and lead the reconstruction process.

Objectives 1. Increase the self-reliance, coping, resiliency and recovery capacity of critically-affected households, including displaced and host communities, through the immediate creation of employment and livelihood opportunities. This will be achieved through: a. Large-scale CfW programmes as a step to restore and stabilize people’s livelihoods, reduce dependency on humanitarian assistance, restart the economy and contribute to stabilization; b. Emergency provision of safety net opportunities to the most vulnerable segments of the affected communities, with particular focus on women-headed households, the disabled and the elderly; c. Emergency large-scale provision of self-help micro-grants to restart micro and small enterprises that were destroyed/disrupted by the January 2010 earthquake.

2. Highly-populated affected areas of Port-au-Prince and Jacmel, Miragoane, Léogâne, Petit Goave, Grand Goave and Cabaret are cleared of rubble and accumulated debris; demolition of buildings, collection, sorting and recycling of rubble operations are handled in a sound environmental and strategic manner, that paves the way for timely reconstruction efforts. 3. Lives, livelihood, shelters and basic social infrastructure of communities - likely to be affected by rainy and hurricane seasons - are protected through immediate support to the elaboration and implementation of disaster risk reduction and emergency response plans, as well as protective works. This should include the establishment of basic Early Warning System capacities for risks associated with hydro-meteorological hazard to disseminate warnings to the authorities and the population. This will also include a substantive programme on earthquake (seismic) analysis, risk assessment and land risk zoning and an equivalent process for flood risk zoning.

4. The coordination, information management, decision-making and crisis management capacity of key public institutions is immediately supported, enabling them to have the adequate capacity to plan and coordinate emergency and recovery operations, and contribute to the recovery and reconstruction process.

5. Environmental impacts are mitigated, natural resource-based livelihoods protected and solutions developed for relief-related household energy. This will be achieved through a centralized Technical Assistance Facility providing multi-disciplinary expertise and full-scale technical installations in a number of settlements. Target interventions include: • Improving waste management, sanitation and security solutions across the relief programme through the introduction of internationally proven but locally novel technologies (e.g. biogas, solar water heating, solar lighting); • Improving food security and reducing deforestation through the large-scale introduction of sustainable and affordable alternatives to inefficient charcoal and fuel wood stoves; • Improving the technical quality and impact sustainability of FFW and CfW schemes which include debris removal, erosion and drainage control, reforestation and revegetation; • Demonstrating on a large scale and at the earliest possible stage the practical and cost benefits of adopting appropriate energy and environmental technologies in the recovery process.

Indicators 1) More than 500,000 people (40% women) from affected communities are provided with short- term employment opportunities, safety nets, or grant opportunities over a 12-month period, indirectly benefiting up to 2.5 million people. 2) Tons of rubble removed, sorted out and recycled in a sound environmental manner, number of kilometres of streets cleared of debris, number of km of drainage channels cleaned of accumulated solid waste. 3) Risk mapping of communities in areas prone to flooding and hurricanes conducted. Canals cleaned, gabions and embankments installed in 13 priority basins throughout the country.

4) Emergency response materials pre-positioned and contingency planning exercises conducted. 5) Number of people receiving hydro-meteorological warnings. 6) Concerted plans and mappings of interventions owned by public authorities are prepared and implemented leading to enhanced coordination and maximized use of resources. 7) Effective early recovery coordination mechanisms to avoid overlaps, competition and harm between projects are in place at different levels and with all kind of stakeholders. 8) Percentage, number, value and coverage of environmentally friendly or neutral projects and installations compared to the total for the relief programme. 9) Extent of implementation of the Government-endorsed seismic, geological and building hazard management plan.

Sectoral monitoring plan All information collected on partners’ interventions and plans will be shared with direct public authority counterparts and with the CPD, which has been appointed as the lead focal point for information collection and liaison with humanitarian and development partners. The information will be analysed at the cluster level to identify gaps, priorities, and sequencing, and to inform relevant stakeholders. 1) Output 1 – immediate creation of employment and livelihood opportunities: information on all partners’ interventions and results (including number of workdays created and number of indirect beneficiaries disaggregated by gender) is collected and mapped on a fortnight basis by the Cluster. 2) Output 2 – rubble removal and debris clearance: information on all partners’ interventions in the clearance of small debris is collected on a daily basis by DINEPA and by the municipalities. Partners report on results on a fortnight basis to the Cluster. 3) Output 3 – disaster risk reduction and emergency preparedness response: information on all partners’ interventions in this sector will be collected on a daily basis by the CPD. Partners will report on results on a fortnight basis to the Cluster. 4) Output 4 – emergency support to key authorities’ coordination capacities: all partners to provide quarterly reports on the support provided to key authorities to support their coordination, decision-making and crisis management capacities.

Ousmane Watt – OCHA 10 February 2010

4.5.9 PROTECTION Cluster Lead Agencies United Nations Stabilization Mission in Haiti (MINUSTAH) Human Rights Section of the Office of the High Commissioner for Human Rights (OHCHR) Sub-cluster Leads UNICEF (Child Protection AOR) UNFPA (Prevention and Response to GBV AOR) Cluster Partners Revised Flash Appeal/CAP implementing partners: OHCHR/MINUSTAH, UNHCR, UNFPA, UNAIDS, UNICEF, ILO, UNIFEM, IOM, CECOSIDA, Heartland Alliance, IMC, HI, SC, CISP, ADRA, TdH, AVSI, IRC, Mercy Corps, Children’s forum, ARC

Additional Protection Cluster Members: CARE International, Groupe d'Appui aux Rapatriés et Réfugiés (GARR), Réseau National de Défense des Droits Humains (RNDDH), HelpAge International, CBM, Internews, WV, CRS, Action Aid, WFP, Ministère de la Protection Civile Number of Projects 55 Cluster Objectives 1. Set policies, strategies and ensure rights-based standards for protection interventions. 2. Re-establish a referral pathway for survivors of GBV, and advocate for gap filling where services are lacking. 3. Establish more standardized systems for monitoring and reporting on protection issues including child protection and GBV. 4. Ensure that women and girls have access to basic NFIs and community spaces that reduce their vulnerability to GBV. 5. Identify good practices, tools, and guidelines and ensure timely dissemination among the Protection Cluster members; 6. Develop an understanding of protection in Haiti and in the context of natural disaster by raising the awareness and build the capacity of all relevant actors, including the Government of Haiti, civil society stakeholders, humanitarian agencies, and donor agencies. 7. Advocate for protection concerns, including child protection and GBV and mainstream human rights in the humanitarian response. Focus on cross- cutting issues including age, gender, diversity, HIV/AIDS and mental health and psycho-social support to receive appropriate attention and response within and across the clusters. 8. Work with the humanitarian community to ensure the full application of the Guiding Principles on Internal Displacement, with a particular focus on the full participation of affected communities. Beneficiaries Three million people, in particular IDPs both in settlements and in host families, separated children, survivors of GBV and people with special needs (e.g. people living with disabilities and older people) Funds Requested $61,115,324 Contact Information Louis Gentile [email protected] + 509 37477448 Lizbeth Cullity [email protected] [email protected]

Needs Analysis Prior to the earthquake, the human rights situation in Haiti was precarious with widespread poverty and unemployment, combined with a lack of access to acceptable and affordable food, housing, education, and healthcare, and the ongoing deterioration in the environment, posing a threat to individual rights and national stability. There were serious concerns regarding the rule of law with weak institutions and ongoing impunity. Arbitrary arrest and detention, ill-treatment during detention, long periods of pre-trial detention, prison overcrowding and abuse of authority were prevalent. Gender-based violence, particularly against women and girls, was a key issue, and children were particularly vulnerable to exploitation and abuse relating to criminal gangs, trafficking for sexual and other economic exploitation, and domestic service. Social safety nets were reportedly largely non- existent and most basic services were run by private actors.

The humanitarian crisis that has unfolded as a result of the earthquake has exacerbated human rights concerns and additional priority protection issues have arisen. The Government’s capacity to protect the population has been severely hampered, as protection institutions such as the DPC, the justice system and the Office de la protection du Citoyen suffered serious damage and a number of staff from the former were killed. The MINUSTAH capacity to respond was also hampered due to the damage to its facilities and loss of life. In addition, grass-roots organizations and civil society are facing

enormous resource limitations and challenges to address the crisis.

The humanitarian response to the crisis was relatively swift and large in scope. Difficulties in coordination and distribution of aid, however, have been a problem but considerable progress is being made on a daily basis. Nevertheless concerns continue to be many and varied. Among these, some of the key protection concerns which need to be considered and addressed urgently include: • Internal displacement of the population and lack of information on the profile of the affected population; • Multiple human rights challenges, including lack of safety and security in the spontaneous settlements and a deterioration of the Rule of Law given destruction of courts, police stations, and prisons and the diminished number of active police forces and justice officials, instances of lynching, which had been a serious concern in Haiti prior to the earthquake; • Urgent need for mental health and psycho-social support services; adults and children face challenges with their return to regular community life, psycho-social support services with trained counsellors and community mobilizers are key assets to assist communities; • Lack of access to basic services including access to information for the affected population and in particular for people with special needs including disabled and elderly people; • Destruction and lack of documentation of Haitian citizens (including civil registration, land titles, adoption papers); • Family separation/missing people; • Separated children (children not with their parents or other relatives, children in alternative care; irregular adoption); • Needs of people with disabilities (children and adults in need of medical treatment and psycho- social support, those in need of prosthetics); • Risk of increased violence within communities stemming from the deteriorating living conditions, including serious risk of GBV particularly against women and children; • Increased risk of complications related to maternal and child health given the poor hygiene, water and sanitations conditions.

The response strategy for the Protection Cluster will focus on: 1. Protection monitoring to address key protection issues (as stated above) a. Collection of data and information on protection and human rights violations. b. Dissemination of relevant information to Government and other key stakeholders. c. Set up a case management system and ensure proper referral of documented cases including child protection, GBV, and displacement-related issues.

2. Prevention and response to violence, abuse and exploitation directed towards children a. Support unaccompanied children, encouraging family reunification where possible, and alternative care for children who have been separated from their parents. b. Putting in place Child-Friendly Spaces (CFSs) to provide protection, recreational and referral support to children and youth, encouraging routine and a return to regular daily life. c. Support for children’ and youth’s psycho-social needs. d. Reinforcement of pre-existing child protection and social welfare programmes, and building back better providing short, medium, and long-term assistance to particularly vulnerable children and their families, focusing on community-based activities and on a strengthened social welfare system.

3. Prevention and Response to GBV a. Ensure a multi-sectoral coordinated response to GBV. b. Improving livelihood opportunities for survivor of GBV and women at risk (focusing on women-headed households) to improve economic opportunities through vocational and skill building activities. c. Provision of psycho-social support and dissemination of information related to sexual and reproductive health and referral system in particular through mobile teams. d. Reinforcing the institutional capacity of Governmental and non-governmental Women’s

Networks and support to the reestablishment of the Concertation Nationale contre les Violences Faites aux Femmes, to ensure equal access and benefit from humanitarian assistance and early recovery and contingency planning efforts.

4. Ensure an equal access to assistance and improve advocacy and dissemination of information to the affected population and in particular for people with special needs a. Promote protection mainstreaming and provide technical guidance to humanitarian actors on ensuring that their actions reinforce, rather than undermine, the protection of the affected population. b. Develop community-based platforms to advocate for equal access to and quality of humanitarian assistance in areas affected by the earthquake and receiving communities. c. Establish networks and information points where the local population can access baseline information on their rights, service delivery and on general government and humanitarian response. d. Raise public awareness on key protection concerns regarding people with special protection needs and on gaps identified in the delivery of assistance.

5. Support to and strengthening national protection actors including Government, civil society and communities a. Contribute to the re-establishment and restoration of national protection mechanisms. b. Reinforcement of the Rule of Law through an improved access to justice at a community level and improved knowledge on the procedures to recover civil documentation c. Enhance the capacity of local communities to address their own protection needs.

Indicators 1. Number of documented cases, adequately referred to the relevant institutions and solved through the protection monitoring system. 2. Reduction of over-all human rights violations, including arbitrary detention, extra-judicial killings, instances of excessive use of force. 3. Number of girls/boys, female/male youth and women/men, including survivors of GBV, receiving protective services, including psycho-social services. 4. Access to legal services for the affected population, including survivors of GBV and documentation-related issues. 5. Number of hosting communities that have received service delivery/infrastructure work to address the displacement related challenges. 6. Number of people advised on how to recover their documentation. 7. Number of capacity-building activities conducted for governmental counterparts and civil society organizations.

Table of proposed coverage per site SITE / AREA ORGANIZATIONS Port-au-Prince/Ouest OHCHR/MINUSTAH, UNFPA, IRC, UNAIDS, UNICEF, SC, UNIFEM, IMC, HI, Department CECOSIDA, Heartland Alliance, IOM, ILO, CISP, ADRA, ARC, Mercy Corps Léogâne + surrounding areas OHCHR/MINUSTAH, TdH, UNICEF, SC, CARE International, IMC, Hl Petit Goave/Grand Goave SC, TdH, IMC Jacmel/South Dept. OHCHR/MINUSTAH, UNICEF, SC, UNIFEM, CECOSIDA, AVSI Gonaives/Artibonite OHCHR/MINUSTAH Cap Haitien OHCHR/MINUSTAH, CECOSIDA Center OHCHR/MINUSTAH Les Cayes/South Dept. OHCHR/MINUSTAH, TdH, AVSI Jeremie/Grand-Anse OHCHR/MINUSTAH Border crossings into DR OHCHR/MINUSTAH (Quanaminthe), Heartland Alliance (Malpasse, Belladere, and Ounamanthe), UNHCR (Jimani), ARC (Fond Parisien, Ganthier), UNICEF Dominican Republic UNHCR, UNFPA, UNICEF

Sectoral monitoring plan Individual agencies and organizations will monitor project-specific indicators, disaggregated by sex and age, and make ongoing evaluations and assessments of project objectives. With the lead of MINUSTAH Human Rights Section, OHCHR and the Child Protection and GBV AORs, collective and joint monitoring of protection activities will be undertaken during the MYR and on a regular basis through the protection monitoring system. The Cluster Lead Agency and the Child Protection and GBV coordinators can request individual members for updates on the implementation of the projects during the year.

All organizations submitting proposals to the Protection Cluster will work in collaboration with partners and will support community mobilization. The projects aim to strengthen the national protection capacity including government counterparts, civil society, community and family support, and to increase the capacity and referral to existing services.

The Protection Cluster, including AORs for Child Protection and for Prevention and Response to GBV, and the Mental Health and Psycho-social Support Working Group, will provide technical support and guidance to organizations (within the Protection Cluster and at the inter-cluster level) to promote the effectiveness and harmonization of approaches. Protection Cluster members acknowledge relevant principles and guidelines including the Guiding Principles on Internal Displacement, the Framework on Durable Solutions for IDPs, the IASC Operational Guidelines on Human Rights and Natural Disasters, IASC Guidelines on Prevention of GBV in Emergencies, IASC Guidelines on Accompanied and Unaccompanied Children and IASC Guidelines on Psycho-social Support and Mental Health.

4.5.10 EDUCATION Cluster Lead Agencies United Nations Children’s Fund (UNICEF) and Save the Children (SC) Cluster Partners Plan International, Finn Church Aid/Lutheran World Federation (LWF), WV, Concern Worldwide, UNESCO, Unity and Cooperation for the Development of the People (UCODEP), RI, WFP Number of Projects 21 Cluster Objectives Directly and indirectly affected learners return to school and successfully complete the current school year, including access for out of school children. Technical and material assistance is provided to schools to restore a normal school environment. Psycho-social support is provided to young children, students, teachers and caregivers as necessary. Most affected young children have access to safe spaces where quality play materials and early learning activities are available, including pre-schools and home based care. Administrators’ and educators’ capacity in education management is strengthened at all levels. Beneficiaries 1,359,124 children and teachers Funds Requested $76,042,842 Contact Information [email protected]; [email protected]

Needs Analysis The total number of children and youth under 18 directly and indirectly affected by the earthquake is estimated to be 1.26 million. Within that number, approximately 700,000 are primary school age children between 6 to 12 years old. The number of schools affected by the disaster is thought to be between 3,500 and 4,600. High numbers of teachers and other education personnel have been killed and injured in the earthquake and suffered severe losses. It is estimated that 450,000 children are displaced as a result of the earthquake, both within Haiti and in border areas with the Dominican Republic. Students and young children were severely affected by the earthquake on both sides of the border through damaged infrastructure and distress caused to children, their families, teachers and caregivers.

It was announced officially through a Government communiqué that schools in the non- affected/indirectly affected areas re-opened on 1 February 2010. Nonetheless, parents still fear to

send their children to school, and most of the schools still remain closed. It is anticipated that schooling in the affected areas will restart throughout March 2010 in order not to lose valuable time in the current school year. However, due to the high likelihood of imminent natural disasters in Haiti, both hurricanes and earthquakes/aftershocks, the Government is cautioning schools not to start repair works or open schools until they have been given the go ahead following certification by experts.

Children and youth displaced by the earthquake, both in Haiti and those who are now in border areas with the Dominican Republic, are particularly vulnerable. Immediate needs in the border areas include access to quality education for all children, especially girls and the most vulnerable, the need to rebuild security and confidence for children and their caregivers, and psycho-social recovery and life- skills rebuilding. The decentralized Dominican Republic education system needs to be strengthened through capacity-building and social mobilization activities at all levels of the system given the impact that the influx of displaced Haitian population may have on the education system there.

In the specific context of Haiti, education will play a major role, not only for ensuring children go back to school and continue their education, but also for those who were already out of school. According to available data, almost 50% of school-aged children were out of school before the disaster. Many schools (80% and more) were managed by the private sector in Haiti. In addition, health issues have diminished children’s learning capacity and have contributed to high repetition and drop-out rates. Therefore, there is an additional need to reach through formal or non-formal education all affected children.

Of the estimated 800,000 people with disabilities in Haïti prior to the earthquake, 200,000 of them were children. The Government estimates that 300,000 people are thought to have been injured in the earthquake, many of whom will suffer from long-term disabilities. It is vital that education provision after the earthquake take their needs, concerns and abilities into account in order to promote access, inclusion and the full participation of people with disabilities.

In the context of the earthquake, other recurrent disasters, combined with the on-going food crisis, already deprived and vulnerable children and youth are at risk of dropping out of school altogether or, at a minimum, having their schooling interrupted. There is clear evidence that education is key to children and youths’ survival and opportunities following humanitarian crises, and therefore must not be interrupted. In addition, schools provide children with a place of safety and sense of normality, which is crucial to their psychological recovery.

Young children (from birth to age six) are particularly vulnerable in situations of crisis, instability and violence. Young children affected by this earthquake need urgent access to a minimum level of quality services that promote and enable their continued overall development.

Priority needs within the education sector within the short-term (the next three months) are as follows: 1. Opening of schools in non-affected areas and affected areas (foreseen during March 2010); 2. Temporary schooling for children directly and indirectly affected by the earthquake; 3. Coordination and planning for reconstruction of school buildings both in affected and non- affected areas; 4. Psycho-social support for teachers and from teachers to children; 5. Needs assessment and analysis to gain a fuller picture of the prioritized education-related needs for the Haitian population and to inform medium to longer-term planning.

Objectives The overall goal of the Education Cluster is to ensure that all children and young people have immediate access to quality education and support to continue their normal development within a safe and caring environment, both within Haiti and in border areas with the Dominican Republic.

In order to achieve that goal, the following objectives have been prioritized: • To provide urgent teaching/learning supplies, equipment including recreational items, furniture

and materials damaged/destroyed by the earthquake; • To establish immediate and short-term safe and accessible spaces for young children (0-6 years) near temporary educational primary school facilities, ensuring that young children have access to pre-school or home-based care including play materials where they can interact with peers and caregivers in caring and enabling environments, and receive urgent psycho-social support (in coordination with child protection sub-cluster and Ministry of Social Affairs). • To carry out urgent and safe repair and rehabilitation of school structures to a certain standard (including basic services such as water and sanitation, cleaning, basic repair, access for people with disabilities) for the safety and health of students and teachers owing to severe damage to existing schools and other education facilities; • To implement emergency training (including psycho-social support, SGBV, disaster risk reduction and other emergency themes) support to education personnel, caregivers and communities; • To adjust the school curriculum and activities to incorporate urgent emergency themes and life skills relevant to the current disaster situation, such as Disaster Risk Reduction including disaster preparedness, hygiene, health, HIV/AIDS, protection from violence and abuse, conflict resolution, and accelerated learning packages; promote a national curriculum (framework) implemented in all schools; • To rehabilitate the most damaged education offices and facilities of the Ministère de l’Education Nationale de la Formation Professionnelle (MENFP) and relevant education authorities (local and central levels). Support to assist the government on re-establishing the education management capacity at the central, regional, and local levels. To strengthen the Education Management Information System (EMIS) as well as pre- and in-service teacher training mechanisms and structures; • To provide strong coordination support (SC and UNICEF) to avoid gaps or duplication between agencies working in support of national actors. Indicators • Number and percentage of earthquake-damaged schools repaired, rebuilt or constructed. • Number of temporary safe learning spaces established for schools and for ECD activities. • Number and percentage of boys and girls benefiting from basic learning and play materials. • Number and percentage of teachers, PTAs, community leaders trained in psycho-social, child- centred methodologies and disaster risk reduction. • Number and percentage of MENFP and other relevant education authority facilities repaired.

Table of proposed coverage per site

SITE / AREA ORGANIZATIONS Port-au-Prince/Ouest Department Concern Worldwide, UNICEF, SC, RI, WV, UNICEF Léogâne and surrounding areas Finnish Church Aid, LWF, Plan International, UNICEF Petit Goave/Grand Goave Finnish Church Aid, LWF, UNICEF Jacmel/South department Fraternité Notre Dame, Plan Haiti, RI, SC, Plan Haiti, Rl, UNICEF Departments hosting IDPs (Gonaives/ Artibonite, Cap Haitien, Centre, Les Concern Worldwide, UNICEF, SC Cayes, Grand Anse) Jimani, Dajabón, Elias Piña, as well as UNICEF, SC, Aide et Action, WV, UCODEP in the urban setting of Santo Domingo

Sectoral monitoring plan To ensure the overall quality of project implementation, project staff within responsible agencies will monitor activities using already established mechanisms. The cluster will monitor overall progress against objectives and indicators through its network of cluster partners working closely with the MENFP. Monitoring will take place periodically, with a shifting focus from inputs in the initial three months to outcomes and impact by the end of this Appeal period. For this purpose, a common framework for monitoring will be developed within the Education Cluster, closely linked to the monitoring efforts of Government partners and other clusters. Baselines will be established through existing documentation and needs assessments currently underway.

4.5.11 LOGISTICS Cluster Lead Agency United Nations World Food Programme (WFP) Cluster Partners WFP, Hl/Atlas Logistique, Bioforce, RedR, humanitarian community Number of Projects 4 Cluster Objectives • Facilitate the provision of life-saving and immediately needed key relief items to the affected population. • Enhance the coordination, predictability, timeliness and efficiency of the emergency logistics response under the Cluster approach. • Support of the humanitarian community to carry out their role by providing direct logistics services, support equipment, facilities, infrastructure repair and capacity-building. Beneficiaries Humanitarian community in Haiti and the Dominican Republic Funds Requested $104,923,179 Contact Information Matthew Hollingworth, Global Logistics Cluster Coordinator; [email protected]

Needs Analysis As a result of the earthquake there has been extensive damage to infrastructure. Port-au-Prince is without critical infrastructure such as electricity, water and telecommunications. The port has been severely affected. Governmental buildings, many offices of the United Nations and other humanitarian actors have also been damaged.

While substantial quantities of food, medicine, shelter and life-saving relief items are now reaching Haiti by air, road and sea, bottlenecks and the limited capacity of the logistics supply chain are becoming the major challenge for the Logistics Cluster. Due to the magnitude of the damage, the humanitarian response in Haiti requires a major augmentation of the logistics supply chain and assets as well as the coordination of the related overall response.

The main gaps and bottlenecks identified by the humanitarian community in Haiti are related to: • Severe congestion at the primary entry points including Port-au-Prince port, airport and border crossing points from the Dominican Republic; • Cargo consolidation and limited secure storage capacity; • Transport capacity from multiple points to an increasing number of distribution points; • Road access to severely affected remote areas; • Rapidly expanding requirement for logistics coordination and information sharing; • Emergency equipment for logistics and operations support; • Safe and secure office and accommodation solutions for humanitarian personnel; • Need for urgent light logistics infrastructure rehabilitation to provide greater access and transport capacity.

Optimizing and complementing the logistics capabilities of the humanitarian community is therefore essential to ensure the uninterrupted supply of life saving items in support of the most vulnerable affected people in Haiti.

Response strategy a) Provision of common logistics services to support the humanitarian community’s response Given the extent of the infrastructure damage and the large volumes of relief items arriving and being distributed in Haiti, the Logistics Cluster is facilitating the provision of a wide range of logistics services to the humanitarian community: 1. Establishment of logistics staging areas and forward hubs with augmented storage capacity available to the humanitarian actors both in Haiti and the Dominican Republic. Each facility will provide temporary storage as well as cargo handling, consolidation and tracking; 2. Provision of coastal transport services, where required, for deliveries to inaccessible areas; 3. Augmentation and provision of surface transport capacity: • Primary transport from the Dominican Republic to Haiti using a fleet of long haul trucks; • Mobilization of container trailers and handling equipment to augment turn around capacity

from entry points in the Dominican Republic to main storage facilities, and transport inside Haiti; • Primary and secondary road transport in Haiti using: i) the existing WFP-owned inter- agency fleet of all-terrain trucks managed by WFP partners, Hl – Atlas Logistique, as per an ongoing agreement within the Logistics Cluster; ii) a WFP contracted fleet of trucks operating inside and around Port-au-Prince; iii) a fleet of trucks directly contracted and managed by Hl to operate within Jacmel area; • Procurement of all-terrain trucks (6-15 MTs capacity) to supplement the capacity in Haiti.

All these services are available at no cost to all humanitarian actors, subject to funding availability. b) Enhance coordination, predictability, timeliness and efficiency of the emergency logistics response under the Cluster approach WFP, in its role as Logistics Cluster lead, coordinates the logistics response based on the humanitarian priorities set by the humanitarian country team. The Logistics Cluster provides coordination (including port and airport decongestion), information management, customs facilitation and geographic information system (GIS)/mapping services. The Logistics Cluster also liaises with all humanitarian partners and the relevant authorities to facilitate logistics and operational interaction for the use of military assets in country, in concert with the “Joint Operations Tasking Centre”. c) Provision of humanitarian air transport Based upon a request from the United Nations Country Team, WFP mobilized a fleet of seven aircraft for cargo and transportation of aid workers from the Dominican Republic to Haiti, as well as inside Haiti. Two fixed-wing cargo aircrafts facilitate rapid movement food and NFIs from the region to Haiti as well as distribution inside Haiti. Three helicopters ensure the delivery of life-saving items and personnel to reach isolated locations inaccessible by road. Two passenger aircrafts operate between Santo Domingo and Port-au-Prince and other Haitian airports daily. d) Support the humanitarian community to carry out their role by providing operational support equipment, facilities, infrastructure repair and capacity-building WFP is mobilizing operations support machinery and equipment to facilitate the operational capability of the humanitarian community in Haiti. Through the Logistics Cluster, WFP has also negotiated the supply of fuel, and is making available reliable and sufficient quantities of fuel to support road transport activities.

WFP, in coordination with the local authorities, will ensure that light logistics infrastructure rehabilitation and road spot repair are undertaken to facilitate the access to the most inaccessible affected areas. The rehabilitation of the damaged inter-agency workshop and setting up an additional one will be undertaken to support the deployment of the trucks operating in Haiti for inter-agency purposes.

Acting on the request from the Resident Coordinator in Haiti, WFP is also deploying short and medium-term facilities for the humanitarian workers in Port-au-Prince.

Bioforce & RedR will provide on-the-job training to humanitarian organizations’ local staff through coaching, workshops and technical support in warehouse and stock management, fleet management and maintenance, driver and mechanics and any other aspects of supply chain management as requested.

Expected Outcomes • Uninterrupted delivery of live-saving relief-items to the affected population for all humanitarian actors. • Coordinated, predictable, timely and efficient emergency logistics response under the cluster approach. • Emergency and medical evacuations ensured as required.

• Capability of the humanitarian community to respond and operate in the affected area improved. • Surge capacity, emergency equipment as well as safe and secure office space and accommodation quarters immediately accessible. • Improved logistics performance by the respective organizations through the training of national staff.

Indicators 1. Percentage of request for inter-agency short term storage fulfilled. 2. Percentage of operations support equipment requests (boats, generators, prefabs, storage tents) fulfilled. 3. Percentage of requests to transport humanitarian cargo through common logistics services fulfilled. 4. Area of inter-agency storage space made available. Target: 20,000 m². 5. No. of logistics staging areas & hubs established to facilitate efficient logistics response to affected populations as per Concept of Operations. Target: 6 6. Percentage of requests to consolidate and prioritize humanitarian cargo through common logistics services fulfilled. 7. Percentage of request for metric tons (food or NFIs) transported fulfilled. 8. 100% utilization of contracted hours and effective utilization of aircraft capacity. 9. Number of UN agencies and other humanitarian organizations utilizing the air services. Target: 40 10. 100% response to medical and security requests for evacuations by air. 11. 1,000 national and international staff trained.

Sectoral monitoring plan The Logistics Cluster is an overarching support sector aiming at facilitating the implementation of programmatic activities. As a result, while the monitoring plan to evaluate the project uses multiple measurable indicators, the methodology is reliant on the results of the organizations and clusters supported. Logistics Cluster members’ feedback will be continuously taken into consideration and the overall strategy adapted to the requirements as required. Monitoring tools include: 1. Internal and external regular situation reports; 2. Training databases and evaluation reports; 3. Haiti emergency response lessons learnt; 4. Logistics Cluster and humanitarian actors partners’ surveys; 5. Logistics Cluster Web portal traffic; 6. Projects evaluations; 7. For inter-agency cargo movement and storage tracking, the recently developed RITA will be used to ensure comprehensive data collection, analysis and reporting through the Logistics Cluster; 8. For passenger and cargo booking made through the WFP/UNHAS setups, a dedicated communication system is in place to monitor the location and flight progress of the WFP/UNHAS operated aircraft through the air tracking system; 9. The Flight Management Application (FMA) system is in place. The system enables monitoring of usage the service by the various agencies, load factors, flight routing and provide operational data for management overview; 10. WFP Air Safety Unit will monitor the safety level of the operators in line with UN Aviation Standards. 11. The project will be implemented using the WFP management structures and support systems in place in Haiti.

4.5.12 EMERGENCY TELECOMMUNICATIONS Cluster Lead Agency United Nations World Food Programme (WFP) Cluster partners WFP, UN Department of Field Services (MINUSTAH) , ETC partners (OCHA, UNICEF, TSF, Ericsson, WV, NetHope) Number of Projects 1 Cluster Objectives The ETC will provide basic IT and communications services in the new inter-agency locations and restore those in damaged offices where possible. In addition, a reliable VHF/HF radio network independent from public infrastructure will be provided in the vicinity of Port-au-Prince and linked to other areas of the country, and extended to cover the key areas in Dominican Republic supporting the Haiti operations. To enhance the existing UN radio network needs and expanded to provide security communications services for the safety of humanitarian workers in all areas of operation and complement the public infrastructure as it is being restored. To achieve this the objective of the ETC is to: • Provide comprehensive IT and telecommunications services for WFP and Logistics operations; • Provide emergency telecommunications and data-communication networks and services to WFP, Logistics and the humanitarian community; and, • Train staff in efficient and appropriate use of telecommunications equipment and services. Beneficiaries Clusters and humanitarian agencies Funds Requested $7,475,513 Contact Information [email protected], Tel. 37857133

Needs Analysis Assessments have been conducted but are of a highly technical nature not relevant for other clusters and not applicable to ETC as a service cluster.

Objectives The ETC will: • Provide emergency telecommunications and data-communication networks and services to WFP, Logistics and the humanitarian community; • Provide comprehensive IT and telecommunications services for WFP and Logistics operations; and, • Train staff in efficient and appropriate use of telecommunications equipment and services.

The outcomes will be: • Availability and support of IT and telecommunications services that support the humanitarian community to provide uninterrupted delivery of live saving relief items to the affected population for all humanitarian actors; • Coordinated, predictable, timely and efficient emergency telecommunications response under the Cluster approach; • An exit strategy to ensure the smooth hand-over of IT and telecommunications services at for post emergency activities.

In specific practical terms this will include: • Operational and cost effective IT MOSS-compliant facilities and common emergency telecommunications network providing security voice and data communications; • Common security communications and data communications within all common operational bases in and around the Port-au-Prince area; • Optimal use of existing MINUSTAH IT and network facilities by humanitarian organizations.

Indicators The key performance indicators for the ETC are: • ETC Project Plan prepared and approved based on initial assessment; • ETC services clearly defined and communicated to humanitarian community; • ETC services provided in a timely, predictable and effective manner and to both UN and NGO

communities; • Training programmes on use of ETC services provided – and number of individuals and group training programmes; • Local ETC Working Group established and regular meetings held; • Response team included graduates of the IT Emergency Preparedness and Response Management training programme from UN agencies and NGOs; • Stand-by partners deployed; • Number of local humanitarian organizations included in the common networks; • Inter-agency/intra-cluster information management (IM) facilities established to serve ETC community.

Table of proposed coverage per site Comprehensive ETC services will be delivered to the following locations: Haiti • Port-au-Prince: Log Base, Camp Charlie, Port, boat in port, all other key distribution locations to be determined • Léogâne: Léogâne centre, MINUSTAH base • Saint Marc • Cap Haitien • Gonaives • Jacmel

Dominican Republic • Santo Domingo • Barahona • Jimani • Other locations to be determined

Sectoral monitoring plan A well planned monitoring plan is in place which among other activities includes the following: • Regular situation reports of progress, gaps and challenges published; • Regular local ETC meetings to discuss services, requirements, and plans; • Regular ETC teleconference with global and local ETC representatives; • Project evaluation completed which included a user survey.

4.5.13 COORDINATION AND SUPPORT SERVICES

The relief operation following the earthquake that struck Haiti has been of an extraordinary scale for Haiti, not only in terms of the affected population, its peculiar urban setting, but also in view of the number of actors involved in the response. Over 900 relief organizations, donors and public Haitian offices are involved in the response, in support of the Government of Haiti. A swift and effective response was required to address urgent humanitarian needs and coherent coordination helps to ensure that assistance is delivered quickly and effectively to those most in need and restore critical government services.

Initial response to the emergency was driven by the need to save lives in the short term. The humanitarian community now needs to take stock of the short-fall of coverage in relation to humanitarian needs and to quickly agree sectoral and overall strategies which will move rapidly towards substantially increased coverage of humanitarian needs. In addition, the upcoming hurricane season requires urgent action to be informed by risk analysis and contingency planning to ensure minimum preparedness and longer-term planning for the likelihood of hydro-meteorological emergencies and recurring seismic after shocks.

The humanitarian cluster system was set up and the response is organized through 12 clusters and two sub-clusters (see below role and responsibilities section). The Government of Haiti (GoH) has appointed specific Ministry counterparts to co-lead each cluster and is intensifying its involvement in the response planning and implementation at all levels. Coordination was also strengthened with other partners from the NGO community with the establishment of an NGO coordination cell and the private sector. Particular focus was put on reinforcing coordination with ministries and with local authorities (mayors’ offices). Coordination capacity needs to be especially strengthened in four critical areas including technical advice, strategy development, information management and field/hub level coordination in relief activities as priority area of focus, and in planning preparedness The Humanitarian Country Team (HCT) is now convening twice a week since 1 February under leadership of the Humanitarian coordinator (once a week, the GoH co-chairs the HCT). Seven UN agencies and seven NGOs as well as observers from the NGO coordination cell participate in the HCT to improve humanitarian coordination and policy making as well as ensuring real and equal partnership between UN actors and other humanitarian partners. In addition to reinforcing all aspects of OCHA’s mandate (inter-cluster coordination, information management and analysis, mapping, civil-military liaison), over the first weeks of the response, the Humanitarian Coordinator’s functions were strengthened and in particular support to the Government, donor coordination, civil military coordination, advocacy and media outreach. Humanitarian strategic coordination was also strengthened with the establishment of a Deputy Humanitarian Coordination and a Senior Humanitarian Advisor.

Coordination with the MINUSTAH is functioning well, not only at the strategic but also at the operational level. MINUSTAH established its own coordination architecture which aims at providing in- country support for the Government-led crisis response effort as well as high level steerage for aid and security responders. A strategy to support humanitarian coordination was undertaken between the DSRSG/HC, the PDSRSG and OCHA to define the coordination structure within the UN to be established. The result was the creation of the Emergency Operation Management Centre or EOMC (chaired by PDSRSG and DSRSG and under the direct supervision of the SRSG) and the Joint Operation and Tasking Centre (JOTC), which aims to be a 'one stop' centre for humanitarian actors to seek assistance from the UN and other international military or police capacities to plan and deliver aid as fast and effectively as possible to those in most need. The JOTC, which is supported and run by the UN, receives requests for logistics, engineering or security support from the Government of Haiti and the humanitarian ‘cluster’ groups. It matches these requests from the pool of available UN or international military or police and helps plan, organize and report on implementation. The JOTC is lead by one director with support from MINUSTAH and OCHA. JOTC became operational on 29 January and is now receiving a growing number of daily requests (25+ as of today). International partners are responding, and in some cases have cooperated to provide a joint response to a request.

Coordination should to address the needs of those not directly affected by the earthquake but who have experienced the arrival of close to 500,000 IDPs who have left PaP. It was early on recognized that there is a need for this and has led the development of the humanitarian community’s field capacity. Eight clusters are operational in Léogâne: camp coordination and camp management (IOM) early recovery (UNDP); education (UNICEF); health (Save the Children); food (WFP); protection (UNICEF shelter/NFI (IFRC) and WASH (DINEPA). Coordination support to more than 21 partners, organized in seven clusters: early recovery, education, food, health, protection, shelter/NFI and WASH is on going in Jacmel. The Food Cluster has been activated in Gonaives. Coordination and administrative hubs are established in the Dominican Republic in support of the clusters in Haiti. Close coordination is needed to address the needs of those at the border with the Dominican Republic who are supported by the humanitarian clusters in the Dominican Republic. There are now 10 clusters in the Dominican Republic: Logistics (WFP), Health (PAHO/WHO), WASH (UNICEF), Nutrition (UNICEF/WFP), Education (UNICEF), Agriculture (FAO), Early Recovery (UNDP), Food(WFP), Emergency Telecommunications (WFP), Protection (lead to be decided; sub-cluster on SGBV and child protection led respectively by UNFPA and UNICEF), and Shelter/NFIs (IFRC).

Strategy and Objectives As the humanitarian operation moves forward, essential services are needed such as field coordination, information management and communication, preparedness and contingency planning, and advocacy for the populations and humanitarian community in each of these areas. Review and adjustment of current inter-agency and cluster coordination mechanisms to strengthen consultation, transparency, and accountability in line with humanitarian best practice, including strengthening of clusters and principles of partnership, should also be carried out. Clusters should also prepare to support the government in the longer term dovetailing with sector working groups and linking and feeding in the PDNA process, factoring in seismic-resilient practices and land use sensitive to hurricane risks. Effective communication to the affected population on humanitarian assistance as well as preparedness measures is also a priority. It is important that the strategy and structures put in place match the need and reflect innovative and cooperative approaches that reach beyond traditional actors within the humanitarian community so that an effective link is established to longer term sustainable development, laying the foundations for exits strategy for external relief.

Activities • Increase support to the clusters through further information-gathering and ability to support field coordination, identify concerns and advocate on humanitarian issues. • Ensure adequate monitoring capacity in areas impacted by population movements to identify humanitarian assistance needs and risks associated with the IDPs and host community vulnerabilities and the approaching rainy season. • Ensure inclusive, accountable planning, and information-sharing to support coordination structures and facilitate an efficient and effective response to humanitarian and early recovery needs which factors in resilience to forthcoming hurricane and after shocks. • Promote high-level advocacy for the integration of risk reduction measures as part of immediate preparedness needs • Strengthen needs assessment and see how the current needs assessments will feed in the MYR of the Flash Appeal and the PDNA • Ensure smooth coordination and adequate planning with MINUSTAH for the short, medium and longer terms for humanitarian operations support • Carry out civil-military coordination functions at the strategic and operational level • Ensure and refine strategic joint planning and advocacy to promote principled humanitarian action and early recovery. • Ensure collection, processing, analysis, and dissemination of information related to needs, responses, and gaps in partnership with government and cluster leads and other partners. • Provide cross-cluster analysis and the active communication of information and humanitarian analysis with thorough regular reporting, briefings, maps and information products targeted at decision makers. • Mobilise resources through advocacy and donor relations functions and link up with the PDNA, through the development of national strategy for transition from relief to development, factoring in the principle of ‘build back better’ • Strengthen relationships with NGOs, civil society, and government counterparts, and promote national ownerships as situation evolves.

Expected Impact Inclusive humanitarian coordination mechanism is maintained and further strengthened. • Cluster system including inter-cluster coordination is strengthened and response capacity enhanced or current and future disaster response, notably in advance of the hurricane and rainy seasons and recurring after-shocks • Strategic response and preparedness plans in the Revised Humanitarian Appeal are agreed, implemented and monitored. • Information products developed, maintained, and disseminated. • Needs and Concerns of affected populations highlighted and advocated. • Government of Haiti’s capacity in preparing for the Hurricane season and potential major disasters in the longer term strengthened.

• Strengthened partnership between all partners, including local authorities and private sector. • Humanitarian support is based on accurate up-to-date data and responds better to real needs. • Key advocacy messages to humanitarian actors, government counterparts and the civil society and the global media coverage ensures support to the common humanitarian project cycle and a good outreach to humanitarian donors and the mobilization of the necessary resources. • Good relationships with the MINUSTAH, the United States and Canadian forces enabling to facilitate an effective cooperation between the military and the humanitarian actors and the organization of military escorts to ensure a safe delivery and distribution of humanitarian assets. • Ensure a smooth transition from humanitarian assistance to recovery, with seismic and hurricane risk resilience built in and national capacities to oversee the transition strengthened, based on effective linkages between clusters and PDNA and sectoral working groups carried out, and longer term support of clusters clarified. • Balanced coverage of the assessed humanitarian needs through accurate and transparent resource management and the targeted and needs based allocation of funds to priority and under- funded activities • Cross-cutting issues (gender, age, environment, HIV/AIDS, disaster risk reduction) are effectively mainstreamed into all aspects of humanitarian response.

Overview of Humanitarian Coordination Mechanisms Forum Chair Objective(s) Inputs/Preparation Outputs HC • Set overall • Sit rep • Clear and agreed humanitarian • Maps upon strategic strategy decisions to be HCT • Dashboard • Cluster analysis communicated to • Inter-cluster analysis inter Cluster Coordinators RC • Set UN strategies • Recommendations • Communicate safety • Safety and security on internal UN and security decisions structures and concerns to HCT UNCT functions to support through HC humanitarian effort (safety and security issues, base camps) OCHA • Recommend • Cluster reports • Inter-cluster analysis strategy • Cluster strategic and paper • Highlight decisions operational plans • Recommendations needed by HCT minutes of cluster for HCT INTER- • Set overall meetings CLUSTER • operational vision • Raise humanitarian concerns Agencies, • Cluster strategies • Matrix for • Reports for inter Cluster • Operational information cluster level Coordina- coordination gathering (Overview of cluster tors among cluster • Risk assessments situation CLUSTER partners and supply Maps • Gap analysis) • Information • Reports from cluster • Needs assessment management partners • Strategic and • gap analysis • Decisions from HCT operational plans and inter-cluster HC • Ensure • Sit rep • Key action points coordinated • Maps from meeting strategy between • Dashboard communicated to PM Meeting humanitarian and • Cluster analysis HCT, Cluster government • Inter-cluster analysis Coordinators • Recommendations

PDSRSG • Oversight and • Briefing papers on • High-level steerage coordination their strategic priorities for Government and Coordination relief, recovery and (for first meeting: relief actors Support reconstruction food, shelter and Committee activities communications) (CSC) • Advise the HLCC as requested SRSG/ • Overview of G11 • Decisions from HCT • Analysis on how DSRSG members strategic • Overview of humanitarian efforts objectives Humanitarian feed into G11 G11 • Dovetailing Cluster situation and ER priorities and and Sector group priorities planning. plans HC • Funding priorities • Analysis of • Shared vision of Humanitarian (weekly) for humanitarian humanitarian funding priorities Donors – ECHO programmes situation • Vision on donor (ECHO, DFID, (daily) • Support for cluster • Analysis of cluster priorities USAID, coordination leadership AECID) • Analysis of funding needs OCHA • Information • Maps • More complete sharing • Cluster briefings vision of partners Humanitarian • Security briefings actions and plans Forum • Inter-cluster analysis • Informed partners • Information from partners EOMC • Coordinated • Requests funnelled • Coordinated tasking DSRSG requests for use of through clusters of military assets JOTC office military assets to support the humanitarian effort MINUSTA • Coherence of UN • Agencies’ key • Coordinated key H OCHA, (and NGO and messages messages, with donor under new • Media monitoring seismic and strategy to be and early warning of hurricane resilient considered by practices promoted Public emerging (negative) CSC) messaging, Information issues • Coordinated guest including with Govt Coordination appearances at messaging, local and NY-based disseminating risk press briefings resilience, build back better messages Internews • Effective • Public messaging • Daily radio OCHA communication to for affected programmes the affected population • Daily SMS CDAC population on campaign (Communicati humanitarian ons with • Other joint outreach assistance Disaster- campaigns via print, Affected TV, film, mobile Populations) messaging (i.e. vans with loudspeakers) and live entertainment

4.6 Roles and responsibilities

Relevant Cluster members and other humanitarian Cluster governmental Cluster lead stakeholders institution MARNDR, CNSA, CARE, IRD, FLORESTA, ACDI VOCA, CROSE, AVSF, Diakonie, Agriculture MARNDR FAO Welthungerhilfe, other NGOs active in rural areas The Government of Haiti, national NGO Camp Coordination partners, CCCM, protection and shelter clusters and Camp MICT – DPC IOM and other stakeholders. ACTED, INTERSOS, Management UNOPS, Feed the Children UNDP, UNEP, UNIFEM, UNOSAT, ILO, MPCE, DPC, Early Recovery UNDP UNHABITAT, UNOPS, USGS, NSF, Save the DINEPA Children, IOM and WMO. Plan International, Finn Church Aid/LWF, WV, Education MENFP UNICEF/SC Concern Worldwide, UNESCO, UCODEP, Rl IOM, GOAL, UNICEF, AHPH/Clinics, Concern Int'l, Inter Help, AMURT, Dash Clinic, DPC, Feed The Children, IR, Killick, Med Centre, Maison Enfants de Dieu, ThirstNoMore, Turkish Red Crescent, Civil Protection Portugal, Fraternité Notre Dame, ADRA, Project Concern, Partner Red Cross National Societies supporting the Haitian Red Cross, CARE, Emergency Shelter MICT IFRC* ACTED, Hl, SC, World Concern International, and Non-Food Items The Salvation Army, CRS, IRS, CITIMED, INTERSOS, MSF HOLLAND, Elim Relied Agency, Mercy Corps, ACF, IRD, IRC, WV, Amurt, Canaan Joint Aid Mission, Eglise Adventiste Du Temple, Institution Maranatha, MINUSTAH/PNH, Operation Blessing, Orphelinat Yahweh Children Shekina, Paroisse St Mathieu, Solidarités WFP, UN Department of Field Services Emergency n/a WFP (MINUSTAH) , ETC partners (OCHA, UNICEF, Telecommunications TSF, Ericsson, WV, NetHope) ACDI/VOCA, ACF, ADRA, ACTED, Caritas Haiti, CESVI, Concern, Convey of Hope, CRS, CARE, Goal, Government of Haiti, Haitian Red Food CNSA WFP Cross, ICRC, Islamic Relief Organization, IMC, Love Child, MSF, PU, Oxfam, SP, SC, The Salvation Army, TdH, UNICEF, World Relief Haiti, WV and Welthungerhilfe (GAA) PAHO/WHO, UNAIDS, UNICEF, UNFPA, IOM, Health MoSPP WHO/PAHO SC, WV, IMC, MERLIN, MDM, IRC WFP, Hl / Atlas Logistique, Bioforce, RedR, Logistics DPC WFP Humanitarian Community ACTED, ACDI-CIDA, ACDI-VOCA, ACF, ADRA Int'l, AOPS, AR, AVSF, AVSI, CARE, Caritas/ Haïti, CEPAM, CFM, CMMB, CNP / HSC, CNSA, CNSA/DDASE, CONCERN, Coop Frances, CPNANu, CROSE, CRS, DDASE, Diakonie Katastrophenhilfe, FHI, FONDEFH, FSB, FTC, GHESKIO, HAS, HelpAge International, HP, IADBID, IMC, Inter Aide, Irish Nutrition MoSPP UNICEF Aid, ITECH, IYCN/ CARE, IYCN/PEPFAR, LaC, MDM F, MDM Swiss, MDM-C, MEDAIR, MFK, MSF B, MSF-F. MSF-H, MSF-S, MSPP (MoH), OPS/OMS, OutReach, PAM, PESADEV, PiH, PSF, PSI, RI, Salvation Army, Save the Children, Scientology, SDSH/MSH, TdH, US Army, USAID, USAID/PEPFAR, WC, WFP/PAM, WHI, World Bank, WVI

Relevant Cluster members and other humanitarian Cluster governmental Cluster lead stakeholders institution OHCHR/MINUSTAH, UNHCR, UNFPA, OHCHR UNAIDS, UNICEF, UNIFEM, IOM, CECOSIDA, (UNICEF for Heartland Alliance, IMC, Hl, SC, CISP, ADRA, Protection DPC Child Protection TdH, AVSI, IRC, Mercy Corps, Children’s and UNFPA for forum, ARC, CARE International, GARR, GBV) RNDDH, HelpAge International, CBM, Internews, WV, CRS, Action Aid, WFP UNICEF, SC, ACF, Oxfam, Care, IRC, Solidarités, NCA, COOPI, PAHO, UN WASH DINEPA UNICEF HABITAT, IOM, Deep Springs International, IRD * Note that the IFRC is appealing for funds for the coordination of the Shelter & NFI Cluster and its operations through the IFRC Emergency Appeal which can be found in Annex III.

Dominican Republic In order to increase the coordination of the humanitarian response between both countries, the following cluster coordination arrangements were set up, mirroring the clusters that were created in Haiti. However, only those clusters were activated that are needed for the specific response from the actors based in the Dominican Republic. The clusters in the Dominican Republic are in contact with the clusters in Haiti in order to ensure that prioritization of activities responds to the needs of the affected population.

Roles and responsibilities in the Dominican Republic

Relevant government Cluster members and other humanitarian Cluster Cluster lead institution stakeholders

Instituto para el Desarrollo de la Empresa Asociativa Campesina (IDEAC), Vetermon, CORO, Inter-American Institute for Cooperation on Agriculture Agriculture SEA/IDIAF FAO (IICA), Banco Agricola, USAID, USDA, Fundacion Sur Futuro, Vision Mundial, Cooperative Systems Deployment Impact Assessment (CODIA), Sanatura Ministry of Economy, Planning and IOM, FAO, UNEP, WV, Oxfam, Plan Development, Ministry Early Recovery UNDP International, Caritas, PADF, CODAP, of Environment and Dominican Red Cross, community leaders Natural Resources, local governments UNICEF, Save the Children, UCODEP, USAID, Faculté Latino-américaine de Sciences Sociales Republique Dominicaine (FLASCORD), Fundación HHS , FEDOCININ, AECID, Visión Mundial, Ministry of Education, Aide et Action, FUND INTERED, América Latina - Formación Académica (Latin America - Academic Training) - Organización de Estados Education SEE UNICEF Iberoamericanos (ALFA-OEI), United Nations International Training and Research Institute for the Advancement of Women (UN-INSTRAW), Insituto Dominiano de Desarrollo, Sociedad Salesiana, Entreculturas - Fe y Alegría, Scouts Dominicana / Organisation Mondiale des Mouvements Scouts (World Organisation of the Scout Movement - O.M.M.S) WV and others (cluster meetings started Food SESPAS WFP second week of February)

Relevant government Cluster members and other humanitarian Cluster Cluster lead institution stakeholders

COPRESIDA, UNIBE, Clinton Foundation, USAID, HARVAD OMI, Project HOPE, COE/SESPAS, Amb. of Brazil, AED, IMC, WFP, Logistics heart to heart, Medico Health SESPAS PAHO/WHO International, Colectiva Mujer y Salud, COIN, SINATRAE, AMERICARES, COSALUD, WV, UNFPA, Comisión Salud, UNICEF, DIGECOM, Instituto Dominicano de Desarrollo Integral, PROGRESSIO Counterpart International, Welthungerhilfe (GAA), Concern Worldwide, OCHA, Americares, UNFPA, CRS, Compassion International, Mercy Corps, IRC, Goal, Logistics COE WFP Vivario, WV, CARE, SC, AECID, UNICEF, YMCA, UNHCR, Project Hope, UNDP, ACF, Oxfam, FAO, Plan International, MERLIN, Tearfund, Shelterbox, Rl PAHO/WHO, WFP, FAO, Comisión Nutrition SESPAS UNICEF Nacional de Lactancia Materna, WV, SC, CRS, CIAC, Pastoral, Materno Infantil Dominican Red Cross, UNDP Dominican Government (incl. Foreign Affairs, SESPAS, and Defensa Civil); the Haitian Embassy; Dominican Red Cross, INGOs (including CRS, WV, Plan International, and Lead to be SC); national NGOs including cross-border decided. Sub- civil society networks and children’s NGO cluster leads: consortium; the Plataforma Sociedad Civil CONANI, Ministerio de UNICEF – (Red Ayuda Haiti), the donor community, Protection la Mujer Child UN/international organizations (especially Protection, IOM, UNDP, UN International Research and UNFPA – Training Institute for the Advancement of Gender/SGBV Women (INSTRAW), and Joint UN Programme for HIV/AIDS (UNAIDS); public and private hospitals, Catholic Church and other faith-based organizations, and Haitian student volunteers mobilized to support and accompany medical evacuees. Ministerior Interior y de Policía, Women’s AECID, Brazilian Emb, UNHCR, UNFPA, Shelter Secretariat, Dirección IFRC Red de religiosos contra la trata, COIN, Generál de Plataforma de ayuda Haiti Cooperación Department of Telecommunications WFP UNDSS, UNICEF Telecommunications CORAAPLATA, SEE, INAPA, Oxfam, DIGECOOM-SEEPYD, WV, AECID, Amb. WASH SESPAS UNICEF of Brazil, CAASD, DIGESA, IMPA/UASD, PAHO/WHO

Due to the specific situation of this cross-border response, the generic Terms of Reference were adapted. The generic Terms of Reference of the clusters in the Dominican Republic are the following: a) To coordinate the response of actors in the Dominican Republic (UN agencies, NGOs, Government of the Dominican Republic); b) To coordinate (in relation with Haiti corresponding clusters) the response in Haiti in the border areas (the response being provided by actors from the Dominican Republic and/or by actors from Haiti); c) To coordinate preparedness and contingency planning exercise; d) To liaise with the corresponding clusters in Haiti to identify their needs and organize the supplies/logistics to Haiti.

5. CONCLUSION

While the national and international aid effort has now mostly scaled up to reach those requiring help, the work has only begun. The immensity of destruction and necessary duration of humanitarian action while recovery and reconstruction unfold reinforce the need for the international community to support this 12-month plan and appeal.

The Appeal is a collective humanitarian planning document, developed through the clusters, and selecting projects on the basis of need plus carefully discerned ability on the part of each proposing agency to implement the projects.

The early recovery focus of this revised Appeal is significant, and unquestionably belongs in this humanitarian plan: in today’s Haiti, humanitarian and recovery are intimately connected. The humanitarian response is the first step of a broader and longer-term recovery and reconstruction process, and must continue even as those processes unfold. The comprehensive PDNA and ensuing recovery and reconstruction framework will be closely synchronized with the plans and actions in this Revised Flash Appeal.

A more comprehensive assessment report will follow shortly, allowing for strategic analysis in the lead- up to the Appeal’s mid-year review, to determine what should remain in the 12-month humanitarian appeal and what should be moved to the umbrella of the PDNA/Recovery Framework. However, it must be said that this Revised Flash Appeal, even with its large-scale funding request, is devoid of outright reconstruction projects: it is a humanitarian plan that needs to be supported with humanitarian urgency and comprehensiveness.

The existence of a country-based pooled fund – the Emergency Relief Response Fund – enabled over 20 donors and private sector organizations to channel their funds through a common, un-earmarked financing mechanism. In the first weeks of the emergency the Fund reached over USD 70 million in contributions. Now close to 80% of that has been allocated to UN agencies and NGOs, addressing gaps and needs, with decisions made by humanitarian partners on the ground. The Fund remains available for further contributions.

The international community should be proud of its prompt and generous contributions to the Flash Appeal. Continued commitment is needed and must be strengthened in support of this Appeal, symbolized by the engagement of the UN Special Envoy for Haiti, former President Clinton, in this Revised Humanitarian Appeal and its follow-up in mobilizing further resources.

The UN is and should be the main coordinating body, and – even though significant assistance is provided outside this Appeal, as always – coordination with the actors outside the framework of the Appeal is essential to make humanitarian assistance as effective as possible.

Accountability and transparency are paramount with any aid operation, especially one of this size. Organizations will show all contributions they receive for the projects they put forward in this appeal on a public website (the UN’s humanitarian Financial Tracking Service or FTS). In the appeal’s mid-year review, clusters will report on specific outputs collectively accomplished, versus the targets they set in this document (and update continually as new information emerges) according to needs. Lastly, a key dimension of the international community’s common accountability to help Haiti is to help Haitians build back better without delay, in a way that reduces risk in future disasters.

ANNEX I. LIST OF PROJECTS (GROUPED BY CLUSTER), WITH HYPERLINKS TO OPEN FULL PROJECT DETAILS

Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) AGRICULTURE Support to Agriculture Cluster Coordination in HTI-10/A/31371/R/123 FAO 500,000 765,000 - 0% 765,000 - HAITI Haiti Rapid restoration of food production capacity of HTI-10/A/31372/R/123 FAO the worst-affected households(merged with HTI- 10,000,000 - - 0% - - HAITI 10/A/32011) Emergency assistance to restore food production and ensure dietary diversification for HTI-10/A/31375/R/123 FAO 4,500,000 - - 0% - - HAITI urban and rural families through backyard gardens(merged with HTI-10/A/31897/R) Emergency assistance for the immediate HTI-10/A/31376/R/123 FAO restoration of critical production and post- 8,000,000 8,000,000 - 0% 8,000,000 - HAITI harvest agriculture infrastructures HTI-10/A/31499/123 FAO Awaiting allocation to specific project/sector - - - 0% - - HAITI Rebuilding Agricultural Production Systems and HTI-10/A/31711/R/5861 IRD Livelihoods for Haitian Farmers Victimized by - 3,064,160 225,000 7% 2,839,160 - HAITI Earthquake in Rural Léogâne Monetary support to displaced families in rural CARE communities of three departments (West, HTI-10/A/31728/R/5645 - 4,200,000 2,342,596 56% 1,857,404 - HAITI International Northwest and Artibonite) and farming households that host them. FRATERNITE HTI-10/A/31772/R/13753 NOTRE Irrigation project in Jacquot - 227,500 - 0% 227,500 - HAITI DAME Emergency support to agricultural livelihoods of HTI-10/A/31865/R/6458 ACTED the worst affected households in the urban, - 2,000,000 648,086 32% 1,351,914 - HAITI peri-urban and rural IDP host areas Support to agricultural production in the North West province of Haiti to increase the availability of food and promote income HTI-10/A/31891/R/5850 HWA - 1,406,389 - 0% 1,406,389 - HAITI generation for producers in response to the migration of IDPs from the areas directly affected by the 12th January earthquake. Emergency Relief Project for increasing food HTI-10/A/31894/R/13756 WCH security and reinserting the rescues from the - 1,714,500 - 0% 1,714,500 - HAITI earthquakes in South and South East of Haiti. Emergency Program to support agricultural production in the North West of Haiti in HTI-10/A/31895/R/13756 WCH response to the earthquake of January 12, 2010 - 1,194,000 - 0% 1,194,000 - HAITI and in response to urban migration to the countryside

Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) Vegetable production on earth boxes gardens in HTI-10/A/31897/R/123 FAO - 11,479,880 - 0% 11,479,880 - HAITI the temporary settlements of Port au Prince. Re-establishment of the agriculture and food HTI-10/A/31899/R/123 FAO - 1,270,000 - 0% 1,270,000 - HAITI security information system and network in Haiti Emergency response support to farming- HTI-10/A/31900/R/123 FAO communities hosting displaced persons due to - 1,530,000 - 0% 1,530,000 - HAITI the Haitian earthquake crisis Post-emergency action and support to agricultural production in the South East: fast HTI-10/A/31905/R/13731 AVSF recovery of productive capacities, creation of - 1,203,464 - 0% 1,203,464 - HAITI activities and economic exchanges, income generation and employment for families HTI-10/A/31907/R/13731 AVSF Support to network of dairies, Letagogo - 517,000 - 0% 517,000 - HAITI Increase agricultural production through improved seeds, farming practices for HTI-10/A/31909/R/6450 ACDI - 3,280,000 - 0% 3,280,000 - HAITI individuals returning to rural areas in the Southeast Dept. Emergency Farm Input Distribution, Soil and Water Conservation and Reforestation- HTI-10/A/31916/R/13763 Floresta - 896,161 - 0% 896,161 - HAITI Léogâne/Grand Goave/Fonds Verrettes/Cornillon Agricultural Revitalization Project in response to the earthquake and for the integration of HTI-10/A/31918/R/13767 CEHPAPE - 750,000 - 0% 750,000 - HAITI displaced populations in the municipalities of Gressier, Léogâne, Petit and Grand Goave Strengthening Food Security Following the HTI-10/A/31919/R/8498 CW Influx of Displaced People to La Gonave and - 2,214,500 - 0% 2,214,500 - HAITI Saut d’Eau Emergency program to support agricultural production in the South and in Grand-Anse in HTI-10/A/31920/R/13768 IRD/MEBSH response to the earthquake of January 12, 2010 - 973,000 - 0% 973,000 - HAITI and for the population that has migrated to the cities in the countryside Support’s projects and Assistance to people HTI-10/A/32006/R/13790 FHED-INC - 1,800,000 - 0% 1,800,000 - HAITI following the earthquake aftermath Support to agriculture production and food HTI-10/A/32011/R/123 FAO security of earthquake affected families, migrant - 21,000,000 1,750,000 8% 19,250,000 - HAITI families and rural host families DOMINICAN Effective coordination and leadership of the REPUBLIC and HTI-10/A/32028/R/123 FAO Dominican Republic Agriculture Cluster support - 175,000 - 0% 175,000 - CROSS- in response to the Haitian earthquake crisis BORDER ACTIVITIES Urgent support to veterinary services in post- HTI-10/A/32038/R/123 FAO - 980,000 - 0% 980,000 - HAITI earthquake Haiti Sub total for AGRICULTURE 23,000,000 70,640,554 4,965,682 7% 65,674,872 - CAMP COORDINATION AND CAMP MANAGEMENT(CCCM)

Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) HTI-10/CSS/31454/R/298 IOM Camp coordination support 250,000 6,142,500 3,500,000 57% 2,642,500 - HAITI Camp management in temporary settlements HTI-10/CSS/31455/R/298 IOM and self settled camps (merged into project HTI- 600,000 - - 0% - - HAITI 10/CSS/31812) Registration Process (merged into project HTI- HTI-10/CSS/31458/R/298 IOM 200,000 - - 0% - - HAITI 10/CSS/31812) Displacement Tracking and Mapping (merged HTI-10/CSS/31459/R/298 IOM 250,000 - - 0% - - HAITI into project HTI-10/CSS/31812) Environmental Public Health in IDP Settlements HTI-10/CSS/31699/R/298 IOM - 1,949,519 - 0% 1,949,519 - HAITI in Priority Locations in Haiti Camp Management in formal and spontaneous HTI-10/CSS/31810/R/6458 ACTED - 1,600,000 - 0% 1,600,000 - HAITI settlements HTI-10/CSS/31812/R/298 IOM Camp management - 47,500,000 2,487,750 5% 45,012,250 - HAITI HTI-10/CSS/31825/R/5767 UNOPS Community Watch Camp Monitors - 6,491,797 - 0% 6,491,797 - HAITI IDP Camp Technical Assessment, Survey and HTI-10/CSS/31854/R/5767 UNOPS - 1,156,724 - 0% 1,156,724 - HAITI Planning Services Emergency Preparedness and Disaster Risk HTI-10/CSS/31958/R/298 IOM Management for Post-Disaster Displacement in - 7,000,000 - 0% 7,000,000 - HAITI Haiti Camp Management for IDPs in identified HTI-10/CSS/31993/R/5660 INTERSOS - 600,600 - 0% 600,600 - HAITI settlement Concern Consolidated Camp Management and HTI-10/CSS/31994/R/8498 CW - 603,400 - 0% 603,400 - HAITI Planning Project (ConCaMP)

Sub total for CAMP COORDINATION AND CAMP MANAGEMENT(CCCM) 1,300,000 73,044,540 5,987,750 8% 67,056,790 -

COORDINATION AND SUPPORT SERVICES

Humanitarian Coordination and Advocacy for HTI-10/CSS/31378/R/119 OCHA 6,677,579 17,658,678 11,173,202 63% 6,485,476 890,336 HAITI Haiti Response DOMINICAN Establishment and maintenance of the REPUBLIC and HTI-10/CSS/31574/R/776 UNDP humanitarian corridor from Dominican Republic - 101,543 101,543 100% - - CROSS- to Haiti BORDER ACTIVITIES Addressing urgent preparedness needs for based on regional early warnings, disaster risk HTI-10/CSS/31700/R/6791 UNISDR - 1,000,000 - 0% 1,000,000 - HAITI reduction in relation to recurrent after-shocks and forthcoming Hurricane Season Coordination and support services for the Haiti DOMINICAN earthquake affected areas and communities, REPUBLIC and HTI-10/CSS/31818/R/124 UNICEF including the Santo Domingo Humanitarian Hub - 10,000,000 628,227 6% 9,371,773 - CROSS- in the Dominican Republic, and for UNICEF BORDER Global and Regional response. ACTIVITIES Satellite derived geo-information to support HTI-10/CSS/31937/R/13094 UNOOSA - 133,750 - 0% 133,750 - HAITI relief efforts and early recovery

Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) DOMINICAN Strengthen humanitarian advocacy regarding REPUBLIC and HTI-10/CSS/32041/R/776 UNDP the support offered by the Dominican Republic - 185,500 - 0% 185,500 - CROSS- to affected persons in Haiti BORDER ACTIVITIES HTI-10/CSS/32042/R/13822 UNDOCO Support to UNRC/HC - 950,000 - 0% 950,000 - HAITI Reinforcement of MINUSTAH/DSS security HTI-10/S/31464/5139 UNDSS 1,920,000 1,920,000 - 0% 1,920,000 - HAITI structure to support EQ and recovery operations Provide psycho-social support, stress HTI-10/S/31465/5139 UNDSS 1,120,000 1,120,000 - 0% 1,120,000 - HAITI counselling HTI-10/S/31466/R/5139 UNDSS Staff training 500,000 300,000 - 0% 300,000 - HAITI DOMINICAN REPUBLIC and HTI-10/S/31467/5139 UNDSS Reinforce the DO in the safe haven DR 270,000 270,000 - 0% 270,000 - CROSS- BORDER ACTIVITIES HTI-10/S/31531/R/5139 UNDSS Awaiting allocation to specific projects - - 240,848 0% -240,848 - HAITI

Sub total for COORDINATION AND SUPPORT SERVICES 10,487,579 33,639,471 12,143,820 36% 21,495,651 890,336

EARLY RECOVERY

Strengthening of Haitian geospatial information HTI-10/CSS/31384/R/7475 UNOSAT 58,850 191,530 - 0% 191,530 - HAITI capacity Support to early recovery strategic planning and HTI-10/ER/31382/R/776 UNDP 1,000,000 1,000,000 - 0% 1,000,000 - HAITI coordination Cash for Work for Early Recovery and HTI-10/ER/31387/R/776 UNDP 34,600,000 80,250,000 19,794,224 25% 60,455,776 500,000 HAITI Stabilization Organization of labour-intensive emergency HTI-10/ER/31389/R/5104 ILO public works in support to humanitarian 2,380,000 2,380,000 - 0% 2,380,000 - HAITI operations UN- (WITHDRAWN) Emergency solid waste HTI-10/ER/31391/7039 2,000,000 - - 0% - - HAITI HABITAT collection systems in affected urban areas UN- Technical Support to Government and HTI-10/ER/31393/R/7039 180,000 780,000 - 0% 780,000 - HAITI HABITAT Municipal Recovery Coordinators Cash for Work: Facilitating return and restoring HTI-10/ER/31415/R/298 IOM livelihoods through rehabilitation, reconstruction 8,000,000 5,000,000 1,255,230 25% 3,744,770 - HAITI and rubble Removal Co-ordinating Disaster Debris Management HTI-10/ER/31460/R/5126 UNEP 400,000 - - 0% - - HAITI (WITHDRAWN) Rapid multi-hazard and vulnerability HTI-10/ER/31461/R/5126 UNEP 300,000 - - 0% - - HAITI assessment of Haiti (WITHDRAWN) Post Disaster Needs Assessment (Environment HTI-10/ER/31462/R/5126 UNEP 200,000 - - 0% - - HAITI sector) (WITHDRAWN) Sustainability of Recovery Programmes HTI-10/ER/31463/R/5126 UNEP 100,000 - - 0% - - HAITI (withdrawn)

Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) TAF for Energy and Environment in Relief and HTI-10/ER/31636/R/5126 UNEP - 6,350,000 - 0% 6,350,000 - HAITI Early Recovery HTI-10/ER/31701/R/6079 SC Livelihoods Opportunities for Families in Haiti - 6,540,000 - 0% 6,540,000 - HAITI HTI-10/ER/31793/R/5103 UNESCO Emergency Support to Haiti Media - 400,000 - 0% 400,000 - HAITI Early Recovery of Haiti’s Warning Services for HTI-10/ER/31800/R/5103 UNESCO - 750,000 - 0% 750,000 - HAITI Coastal Hazards Revival of livelihoods of earthquake-affected HTI-10/ER/31813/R/6458 ACTED - 2,946,563 918,121 31% 2,028,442 - HAITI populations Livelihood revitalization for earthquake-affected HTI-10/ER/31855/R/5767 UNOPS communities of Martissant and Carrefour - 3,701,104 - 0% 3,701,104 - HAITI Feuilles District Livelihood revitalization for earthquake-affected HTI-10/ER/31864/R/5767 UNOPS - 3,701,104 - 0% 3,701,104 - HAITI communities of Jacmel Emergency Engineering Sub Cluster HTI-10/ER/31866/R/5767 UNOPS - 1,082,038 - 0% 1,082,038 - HAITI Coordination, Liaison and Emergency Works HTI-10/ER/31874/R/5126 UNEP Haiti Seismic Programme - 2,000,000 - 0% 2,000,000 - HAITI Emergency response to earthquake-affected HTI-10/ER/31883/R/5186 ACF - 4,423,600 2,788,002 63% 1,635,598 - HAITI population - Haïti Rubble Clearance in Jacmel and surrounding HTI-10/ER/31884/R/5524 Plan - 3,910,000 163,319 4% 3,746,681 2,296,618 HAITI areas HTI-10/ER/31885/R/8502 WVI Early Recovery project - 3,646,439 50,000 1% 3,596,439 - HAITI Hopital Integrated Community Services: Early HTI-10/ER/31886/R/13755 Albert - 3,000,000 - 0% 3,000,000 - HAITI Economic Recovery for IDPs and Host Families Schweitzer Rehabilitation of rural infrastructures through HTI-10/ER/31913/R/5186 ACF - 2,552,000 2,340,681 92% 211,319 - HAITI Cash for work activities Protection of lives through proper preparation HTI-10/ER/31924/R/776 UNDP - 7,000,000 - 0% 7,000,000 - HAITI for the hurricane season Protecting livelihoods of vulnerable and HTI-10/ER/31926/R/776 UNDP - 10,000,000 - 0% 10,000,000 - HAITI marginalized people by providing micro-grants HTI-10/ER/31927/R/776 UNDP Disaster and Debris Waste Management - 1,070,000 - 0% 1,070,000 - HAITI Meteorological and Hydrological Early Warning Services to Support Emergency Contingency Planning for Safety of Population and Early HTI-10/ER/31928/R/8313 WMO - 890,000 - 0% 890,000 - HAITI Recovery Activities During the 2010 Rainy and Hurricane seasons in Haiti (March December 2010) DOMINICAN Emergency area-based response to the REPUBLIC and livelihoods, environmental and local governance HTI-10/ER/31947/R/776 UNDP - 4,000,000 - 0% 4,000,000 - CROSS- impact of the Haitian earthquake in border BORDER areas ACTIVITIES

Sub total for EARLY RECOVERY 49,218,850 157,564,378 27,309,577 17% 130,254,801 2,796,618

100

EDUCATION

Education Sector Coordination and needs HTI-10/E/31399/R/124 UNICEF 125,000 - - 0% - - HAITI assessment --- merged with HTI-10/E/31405/R Education Sector Coordination and needs HTI-10/E/31399/R/6079 SC 125,000 - - 0% - - HAITI assessment --- merged with HTI-10/E/31405/R Emergency education support to secondary and HTI-10/E/31400/R/5103 UNESCO 900,000 2,900,000 520,000 18% 2,380,000 - HAITI higher education and education authorities Emergency Support to National Education HTI-10/E/31401/R/5103 UNESCO 600,000 - - 0% - - HAITI Authorities -merged with HTI-10/E/31400/R Psycho-social Support through Teacher HTI-10/E/31402/R/5103 UNESCO 400,000 - - 0% - - HAITI Training - merged with HTI-10/E/31400/R Psycho-social Support to Primary School Children through Teacher Training with Primary HTI-10/E/31403/R/6079 SC 500,000 - - 0% - - HAITI School Teachers ---- merged with project HTI- 10/E/31405/R Temporary schooling in safe, protective environment, for 80,000 earthquake-affected HTI-10/E/31404/R/6079 SC 350,000 - - 0% - - HAITI children -- merged with project HTI- 10/E/31405/R HTI-10/E/31405/R/6079 SC Education for Children in Haiti 600,000 6,320,000 1,789,712 28% 4,530,288 - HAITI Restoring quality education and ECD services HTI-10/E/31406/R/124 UNICEF 7,000,000 50,000,000 27,279,433 55% 22,720,567 - HAITI in Haiti Emergency Education support to Pre-school HTI-10/E/31407/R/5524 Plan 500,000 2,000,000 - 0% 2,000,000 1,148,309 HAITI and Primary School Children DOMINICAN Supporting Haiti Earthquake affected in REPUBLIC and HTI-10/E/31712/R/8356 UCODEP Educational field in the border area of - 252,000 - 0% 252,000 - CROSS- Dominican Republic BORDER ACTIVITIES Emergency Education Facilities, Supplies and Finnchurch- HTI-10/E/31734/R/5390 Psychosocial Support for Affected Schools in - 3,000,000 937,951 31% 2,062,049 - HAITI aid Léogâne Reconstruction of schools and teacher training HTI-10/E/31742/R/13754 OI - 1,553,885 - 0% 1,553,885 - HAITI in Haiti Restoring and Improving Education for HTI-10/E/31751/R/6971 RI - 4,163,999 - 0% 4,163,999 - HAITI Earthquake-Affected Communities DOMINICAN REPUBLIC and Quality education and ECD services for HTI-10/E/31769/R/124 UNICEF - 950,000 119,363 13% 830,637 - CROSS- earthquake affected children BORDER ACTIVITIES Psycho-educational post-disaster recovery for DOMINICAN children and adolescents through the promotion REPUBLIC and HTI-10/E/31773/R/8502 WVI of returning to school and school-community - 72,225 - 0% 72,225 - CROSS- capacity building for child protection education BORDER in risk management. ACTIVITIES

101

Sub total for EDUCATION 11,100,000 76,042,842 30,646,459 40% 45,396,383 1,148,309

EMERGENCY SHELTER AND NON-FOOD ITEMS

Needs Assessment (merged into project HTI- HTI-10/S-NF/31408/R/298 IOM 150,000 - - 0% - - HAITI 10/S-NF/31777) Procurement, transport, and distribution of HTI-10/S-NF/31409/R/298 IOM 12,000,000 6,400,000 9,790,781 153% -3,390,781 - HAITI essential NFIs Provision of Self-Help Repairs and Protection HTI-10/S-NF/31410/R/298 IOM Support (merged into project HTI-10/S- 1,000,000 - - 0% - - HAITI NF/31777) Immediate Improvement to temporary shelter HTI-10/S-NF/31411/R/298 IOM conditions (merged into project HTI-10/S- 900,000 - - 0% - - HAITI NF/31777) Procurement, transport and distribution of HTI-10/S-NF/31412/R/298 IOM essential NFIs (merged into project HTI-10/S- 750,000 - - 0% - - HAITI NF/31409) Alternative shelter support for the displaced HTI-10/S-NF/31413/R/298 IOM 1,000,000 - - 0% - - HAITI (merged into project HTI-10/S-NF/31777) Settlement Support (merged into project HTI- HTI-10/S-NF/31414/R/298 IOM 500,000 - - 0% - - HAITI 10/S-NF/31777) UN- Evidence Based Damage Situation Analysis HTI-10/S-NF/31416/R/7039 1,500,000 1,500,000 - 0% 1,500,000 - HAITI HABITAT and Outreach Resource Centres for Improving Neighbourhood UN- HTI-10/S-NF/31417/R/7039 Vulnerability Mitigation and Providing Guidance 2,800,000 10,750,000 - 0% 10,750,000 - HAITI HABITAT for Reconstruction UN- Support for Emergency Shelter from Salvaged HTI-10/S-NF/31418/R/7039 4,800,000 100,000 30,000 30% 70,000 - HAITI HABITAT Building Materials

102

Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) UN- Technical Assistance and Monitoring Support to HTI-10/S-NF/31419/R/7039 150,000 150,000 - 0% 150,000 - HAITI HABITAT the Emergency Shelter Response Emergency shelter, basic needs and food HTI-10/S-NF/31420/5349 HI distribution assistance through camp 3,000,000 3,000,000 - 0% 3,000,000 - HAITI management or direct distribution Strengthening the response capacity of shelters providing services to victims of gender-based HTI-10/S-NF/31468/R/5105 UNIFEM 700,000 - - 0% - - HAITI violence and their families (project merged with P-HR-RL/31486) HTI-10/S-NF/31528/R/298 IOM Awaiting allocation to specific projects - - 7,832,353 0% -7,832,353 - HAITI DOMINICAN Shelter and Non Food Items assistance to REPUBLIC and HTI-10/S-NF/31576/R/298 IOM Haitians Earthquake Victims in the border area - 436,151 436,151 100% - - CROSS- with Dominican Republic BORDER ACTIVITIES UN- Transitional Camps to be Further Developed HTI-10/S-NF/31651/R/7039 - 3,940,000 - 0% 3,940,000 - HAITI HABITAT into Permanent Settlements Vulnerable Neighbourhood and Housing UN- HTI-10/S-NF/31681/R/7039 Security Assessment, Urgent Demolitions and - 3,920,000 - 0% 3,920,000 - HAITI HABITAT Transitional Camps at Neighbourhood Level Emergency Shelter and Non-food Items for HTI-10/S-NF/31710/R/6079 SC - 12,124,000 1,061,853 9% 11,062,147 - HAITI Children and Families in Haiti Transitional shelter and CFW support in Petit HTI-10/S-NF/31765/R/5349 HI - 3,450,000 - 0% 3,450,000 - HAITI Goave and the Mornes Provision of comprehensive shelter assistance HTI-10/S-NF/31777/R/298 IOM - 41,500,000 - 0% 41,500,000 - HAITI to earthquake-affected communities in Haiti HTI-10/S-NF/31816/R/6458 ACTED Transitional shelter and non-food items support - 7,859,380 2,430,320 31% 5,429,060 - HAITI Immediate Transitional Shelters for Earthquake HTI-10/S-NF/31827/R/5767 UNOPS - 15,571,122 - 0% 15,571,122 - HAITI Affected IDPs in Haiti Transitional Shelter support for the People CARE HTI-10/S-NF/31934/R/5645 Affected by the Haiti Earthquake of January - 5,625,000 2,679,872 48% 2,945,128 - HAITI International 2010 HTI-10/S-NF/31952/R/5167 COOPI Emergency shelter for Haitian IDPs - 630,000 - 0% 630,000 - HAITI Emergency response to earthquake-affected HTI-10/S-NF/31974/R/5186 ACF - 1,568,000 1,300,288 83% 267,712 - HAITI population - Haïti

Sub total for EMERGENCY SHELTER AND NON-FOOD ITEMS 29,250,000 118,523,653 25,561,618 22% 92,962,035 -

EMERGENCY TELECOMMUNICATIONS

Common Information and Communications Technology (ICT) infrastructure and support and HTI-10/CSS/31421/R/561 WFP Emergency Telecommunications Cluster 782,460 7,475,513 1,452,490 19% 6,023,023 - HAITI support to the humanitarian community’s response to the Haiti earthquakes.

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Sub total for EMERGENCY TELECOMMUNICATIONS 782,460 7,475,513 1,452,490 19% 6,023,023 -

FOOD AID

Food Assistance to Earthquake Affected HTI-10/F/31422/R/561 WFP 246,039,060 475,288,986 133,783,470 28% 341,505,516 - HAITI Populations in Haiti Food Assistance for Children and Families in HTI-10/F/31698/R/6079 SC - 1,019,000 - 0% 1,019,000 - HAITI Haiti Provision of emergency life saving food rations HTI-10/F/31752/R/8502 WVI to 350,000 disaster survivors and vulnerable - 1,420,160 1,520,160 107% -100,000 - HAITI household in Haiti Emergency response to earthquake-affected HTI-10/F/31785/R/5186 ACF - 1,190,400 432,900 36% 757,500 - HAITI population - Haïti Food assistance for most vulnerable population HTI-10/F/31823/R/6458 ACTED - 1,000,000 222,384 22% 777,616 - HAITI affected by the earthquake Provide life-saving food for vulnerable Haitians Samaritan's HTI-10/F/31873/R/6116 and support essential rehabilitation and - 500,000 272,250 54% 227,750 - HAITI Purse stabilization measures

Sub total for FOOD AID 246,039,060 480,418,546 136,231,164 28% 344,187,382 -

HEALTH

HTI-10/H/31365/122 WHO Awaiting allocation to specific project/sector - - 6,997,276 0% -6,997,276 - HAITI Availability of adequate drugs and medical HTI-10/H/31423/R/122 WHO 3,200,000 4,400,000 3,341,249 76% 1,058,751 - HAITI supplies Surveillance, preparedness and response to outbreaks of communicable diseases in HTI-10/H/31424/R/122 WHO 1,300,000 2,000,000 177,024 9% 1,822,976 - HAITI temporary and permanent health facilities of affected areas HTI-10/H/31425/R/122 WHO Re-activation of basic health services 3,500,000 20,784,000 6,128,524 29% 14,655,476 - HAITI Coordination, assessment, disaster risk HTI-10/H/31426/R/122 WHO 1,000,000 3,100,000 480,000 15% 2,620,000 - HAITI reduction, and monitoring and evaluation Essential health services for women and HTI-10/H/31428/R/124 UNICEF 8,500,000 19,000,000 20,462,195 108% -1,462,195 - HAITI children HTI-10/H/31435/R/6079 SC Health for Children and Families in Haiti 1,000,000 8,600,000 10,925,545 127% -2,325,545 - HAITI Reproductive Health Services to communities HTI-10/H/31436/R/6079 SC affected by earthquake --- merged with project 500,000 - - 0% - - HAITI HTI-10/H/31435/R HTI-10/H/31438/R/298 IOM Emergency psychosocial assistance 950,000 1,600,001 557,880 35% 1,042,121 - HAITI Emergency Health Referrals, Assisted Returns and Accompanied Transitions for Patients and HTI-10/H/31439/R/298 IOM 1,500,000 2,000,000 - 0% 2,000,000 - HAITI Vulnerable Populations in Priority Locations in Haiti HTI-10/H/31440/R/8502 WVI Primary Health Care and Outbreak Prevention 2,000,000 3,542,967 3,542,967 100% - - HAITI

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Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) Outbreak prevention (project merged with HTI- HTI-10/H/31441/R/8502 WVI 800,000 - - 0% - - HAITI 10/H/31440/R) Minimum Initial Service Package (project HTI-10/H/31442/R/8502 WVI 1,000,000 - - 0% - - HAITI merged with HTI-10/H/31440/R) Health Care for Earthquake-Affected HTI-10/H/31443/R/5160 IMC 2,200,000 1,673,866 1,673,866 100% - - HAITI Populations in Haiti HTI-10/H/31444/5179 IRC Provision of emergency supplies 250,000 250,000 250,000 100% - - HAITI Rebuilding the HIV response in Haiti through evidence based gathering and strengthening networks of PLHIV / Ensure support and HTI-10/H/31445/R/5109 UNAIDS access to HIV treatment, care and prevention 500,000 593,250 - 0% 593,250 - HAITI including PMTCT to displaced populations and PLHIV affected by the earthquake in the border region of Haiti & the Dominican Republic. HTI-10/H/31469/R/122 WHO Environmental health post-earthquake 1,000,000 3,140,000 - 0% 3,140,000 - HAITI Support to public health and health care HTI-10/H/31470/R/5195 MERLIN 500,000 9,208,000 5,583,222 61% 3,624,778 - HAITI services MDM Emergency health response in CHOSCAL HTI-10/H/31471/R/13719 400,000 400,000 577,201 144% -177,201 - HAITI Greece hospital and communities in Cite Soleil Ensuring Essential Reproductive Health HTI-10/H/31472/R/1171 UNFPA 500,000 4,328,150 306,020 7% 4,022,130 - HAITI Services to Earthquake Affected Populations Providing Emergency Reproductive Health Kits HTI-10/H/31473/R/1171 UNFPA 1,000,000 1,000,000 600,000 60% 400,000 - HAITI to Earthquake Affected Populations Contribute to joint needs assessment of needs HTI-10/H/31474/R/1171 UNFPA 300,000 300,000 - 0% 300,000 - HAITI of vulnerable persons/groups Emergency intervention for life saving health HTI-10/H/31484/R/5349 HI support to injured people in Haiti affected by the 2,000,000 3,822,000 1,227,758 32% 2,594,242 - HAITI earthquake DOMINICAN Prevention of occupational HIV, mother to child REPUBLIC and HTI-10/H/31571/R/5109 UNAIDS transmission, blood safety and continue - 24,331 24,331 100% - - CROSS- treatment for people living with HIV BORDER ACTIVITIES DOMINICAN Emergency Reproductive Health Services for REPUBLIC and HTI-10/H/31573/R/1171 UNFPA Haitian Population displaced on the Dominican - 1,819,000 303,666 17% 1,515,334 - CROSS- Republic’s border area. BORDER ACTIVITIES DOMINICAN REPUBLIC and Dominican Republic public health response to HTI-10/H/31575/R/122 WHO - 6,400,000 716,900 11% 5,683,100 - CROSS- the population affected by the Haiti earthquake BORDER ACTIVITIES MDM Provision of Primary Health Care services to HTI-10/H/31623/R/13719 - 500,000 - 0% 500,000 - HAITI Greece earthquake-affected population in Haiti

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Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) Strengthening reproductive health services and HTI-10/H/31628/R/13723 MARCH HIV prevention services in earthquake affected - 480,080 - 0% 480,080 - HAITI areas CARE Mainstream GBV prevention and response into HTI-10/H/31629/R/5645 - 350,000 139,200 40% 210,800 - HAITI International WASH, Health, Shelter and NFI interventions Improving Institutional Capacity to Address HTI-10/H/31750/R/5160 IMC - 1,051,674 1,051,674 100% - - HAITI Psychosocial and Mental Health Needs in Haiti Coordinated Information Management for identification, Service Provision and Referral of HTI-10/H/31762/R/5349 HI - 160,000 - 0% 160,000 - HAITI persons with injuries and other vulnerable persons FRATERNIT HTI-10/H/31770/R/13753 E NOTRE Primary health care in Jacquot - 475,000 - 0% 475,000 - HAITI DAME Supporting the delivery of key interventions and DOMINICAN building capacity at health facility and REPUBLIC and HTI-10/H/31787/R/124 UNICEF community level to address the essential health - 1,915,000 240,611 13% 1,674,389 - CROSS- needs for women and children, including the BORDER pregnant and new born in DR ACTIVITIES Construction, relocation and operationalization HTI-10/H/31868/R/122 WHO of a new facility for PROMESS, the Central - - - 0% - - HAITI Warehouse for Medicines and Medical Supplies Ensure Availability of Post-Earthquake HTI-10/H/31870/R/122 WHO - 5,150,000 - 0% 5,150,000 - HAITI Rehabilitation Control Vaccine Preventable Diseases in HTI-10/H/31871/R/122 WHO - 2,557,850 - 0% 2,557,850 - HAITI earthquake-affected areas Support to the Ministry of Health (MoH) in HTI-10/H/31872/R/122 WHO - 3,600,000 - 0% 3,600,000 - HAITI emergency and transition phase Supporting health care provision through the establishment of mobile clinics and medical HTI-10/H/31901/R/5850 HWA - 1,128,000 - 0% 1,128,000 - HAITI centres in some of the IDP catchment zones in the Port-au-Prince area Hopital Protect the health of residents and internally HTI-10/H/31906/R/13755 Albert - 390,000 - 0% 390,000 - HAITI displaced persons in the Lower Artibonite Valley Schweitzer Hopital Protect the health of residents directly impacted HTI-10/H/31910/R/13758 - 575,000 - 0% 575,000 - HAITI Sainte Croix by the earthquake Re-activate Basic Health Care Services in HTI-10/H/31911/R/13318 PIH - 10,000,000 10,000,000 100% - - HAITI Primary Health Care Restoring basic health services in Port au HTI-10/H/31942/R/5179 IRC - 451,000 - 0% 451,000 - HAITI Prince and surrounding areas Re-activation of Specialized Health Care in the HTI-10/H/32027/R/122 WHO - 2,300,000 - 0% 2,300,000 - HAITI Metropolitan Area

106

Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) The Harvard Humanitarian Initiative-Love A Child Disaster Recovery Center Comprehensive Rehabilitation and Reintegration Program in HTI-10/H/32030/R/13813 HHI - 4,998,180 - 0% 4,998,180 - HAITI Fond Parisien, Haiti a multi-national and inter- agency collaboration and partnership for health, child protection, reproductive health and shelter.

Sub total for HEALTH 33,900,000 134,067,349 75,307,109 56% 58,760,240 -

LOGISTICS

Logistics Augmentation and Coordination for HTI-10/CSS/31447/R/561 WFP Relief Operations in Response to the 21,457,301 72,385,916 29,996,878 41% 42,389,038 481,444 HAITI Earthquake in Haiti Provision of Humanitarian Air Services in HTI-10/CSS/31448/R/561 WFP 11,570,404 31,708,397 15,590,741 49% 16,117,656 - HAITI response to the Earthquake in Haiti Support to organizations intervening in the vicinity of Jacmel (storage, transport), in Haiti HTI-10/CSS/31449/R/5349 HI 500,000 - - 0% - - HAITI after the earthquake of January 12th 2010 (Withdrawn) Capacity Building of Humanitarian Personnel – HTI-10/CSS/31953/R/13139 RedR UK - 414,433 - 0% 414,433 - HAITI Logistics Capacity Building of Humanitarian Personnel – HTI-10/CSS/31953/R/13143 Bioforce - 414,433 - 0% 414,433 - HAITI Logistics

Sub total for LOGISTICS 33,527,705 104,923,179 45,587,619 43% 59,335,560 481,444

NUTRITION

Emergency nutrition surveillance and HTI-10/H/31437/R/6079 SC therapeutic care to children under 5yr of age --- 400,000 - - 0% - - HAITI merged with project HTI-10/H/31708/R Nutrition programme support to the Earthquake HTI-10/H/31450/R/124 UNICEF 48,000,000 30,400,000 25,050,118 82% 5,349,882 500,000 HAITI Response in Haiti Nutritional support for children under five and pregnant and lactating women at-risk in HTI-10/H/31673/R/5768 AVSI - 633,868 - 0% 633,868 - HAITI temporary settlements in Cite Soleil, Port-au- Prince HTI-10/H/31708/R/6079 SC Emergency Nutrition for Children in Haiti - 3,064,000 845,288 28% 2,218,712 - HAITI Implementing Early Childhood Development Programs to Improve the Effectiveness of HTI-10/H/31754/R/5160 IMC - 525,837 58,826 11% 467,011 - HAITI Nutrition Interventions in Haiti (ERF via Nutrition Cluster) Reduction and Prevention of Malnutrition HTI-10/H/31756/R/5160 IMC among Earthquake-Affected Children in Haiti - 1,016,241 1,016,241 100% - - HAITI (ERF via Nutrition Cluster)

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Sub total for NUTRITION 48,400,000 43,453,946 29,974,348 69% 13,479,598 500,000

PROTECTION

HTI-10/P-HR-RL/31377/R/120 UNHCR OHCHR/UNHCR Earthquake Intervention Haiti - 470,406 - 0% 470,406 - HAITI HTI-10/P-HR-RL/31377/R/5025 OHCHR OHCHR/UNHCR Earthquake Intervention Haiti 300,000 670,000 399,510 60% 270,490 - HAITI HTI-10/P-HR-RL/31379/R/5025 OHCHR Support to national protection actors 200,000 960,000 200,000 21% 760,000 - HAITI HTI-10/P-HR-RL/31380/R/124 UNICEF Child Protection, GBV and MHPS coordination 750,000 1,500,000 1,185,078 79% 314,922 - HAITI Prevention and response to family separation, HTI-10/P-HR-RL/31383/R/124 UNICEF 2,000,000 7,000,000 6,096,047 87% 903,953 - HAITI trafficking, smuggling, illegal movement Community-based child protection, HTI-10/P-HR-RL/31385/R/124 UNICEF psychosocial support and prevention and 4,500,000 7,500,000 5,644,099 75% 1,855,901 - HAITI response to GBV Building Back Better for Children: Support to HTI-10/P-HR-RL/31386/R/124 UNICEF government structures and systems for 1,000,000 4,400,000 2,001,055 45% 2,398,945 - HAITI improved child protection HTI-10/P-HR-RL/31388/R/124 UNICEF Psychosocial support and GBV 1,500,000 - - 0% - - HAITI (WITHDRAWN) - Protecting the Vulnerable HTI-10/P-HR-RL/31390/R/5349 HI Persons – Monitoring, Referral and Response 350,000 - - 0% - - HAITI to Key Protection Concerns

108

Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) Provision of psycho-social support to affected HTI-10/P-HR-RL/31392/R/1171 UNFPA populations at community level, with a special 500,000 500,000 - 0% 500,000 - HAITI focus on women, youth and the elderly Protection of the rights of affected people from marginalized and especially vulnerable groups, HTI-10/P-HR-RL/31394/R/1171 UNFPA 400,000 1,231,710 - 0% 1,231,710 - HAITI such as People living with HIV, people with disabilities, young people and elderly people HTI-10/P-HR-RL/31395/R/1171 UNFPA Prevention and response to GBV 550,000 710,500 628,213 88% 82,287 - HAITI Provision of hygiene supplies for earthquake HTI-10/P-HR-RL/31396/R/1171 UNFPA 1,000,000 3,210,000 - 0% 3,210,000 - HAITI affected populations Emergency Protection, Psychosocial and Terre Des HTI-10/P-HR-RL/31451/R/5762 Nutrition Assistance, Léogâne-Petit Goave- 800,000 1,600,000 1,039,608 65% 560,392 - HAITI Hommes Grand Goave-Les Cayes and surroundings Ensuring GBV coordination in the aftermath of HTI-10/P-HR-RL/31452/R/1171 UNFPA 300,000 321,000 342,662 107% -21,662 - HAITI the earthquake HTI-10/P-HR-RL/31477/R/5025 OHCHR Community Information Centres 30,000 170,000 30,000 18% 140,000 - HAITI HTI-10/P-HR-RL/31485/R/5109 UNAIDS Protection of People Living with HIV (PLHIV) 100,000 100,000 - 0% 100,000 - HAITI Security for Women and their Families: HTI-10/P-HR-RL/31486/R/5105 UNIFEM Ensuring a Gender-Responsive Humanitarian 100,000 1,700,000 199,020 12% 1,500,980 - HAITI and Early Recovery Response Emergency response in Child Protection in HTI-10/P-HR-RL/31487/R/5524 Plan Croix des Bouquets and Jacmel following the 500,000 1,000,000 359,712 36% 640,288 574,156 HAITI January 2010 devastating earthquake Child protection, GBV and MHPSS coordination HTI-10/P-HR-RL/31488/R/6079 SC 100,000 - - 0% - - HAITI --- merged into HTI-10/P-HR-RL/31490/R Prevention and response to family separation --- HTI-10/P-HR-RL/31489/R/6079 SC 300,000 - - 0% - - HAITI merged into HTI-10/P-HR-RL/31490/R HTI-10/P-HR-RL/31490/R/6079 SC Protection for Children in Haiti 350,000 6,460,000 3,998,904 62% 2,461,096 - HAITI Support to government structures and institutions responsible for key aspects of child HTI-10/P-HR-RL/31491/R/6079 SC 300,000 - - 0% - - HAITI protection --- merged into HTI-10/P-HR- RL/31490/R Psychosocial support --- merged into HTI-10/P- HTI-10/P-HR-RL/31492/R/6079 SC 300,000 - - 0% - - HAITI HR-RL/31490/R HTI-10/P-HR-RL/31563/R/5025 OHCHR Awaiting allocation to specific projects - - 1,203,102 0% -1,203,102 - HAITI DOMINICAN REPUBLIC and Prevention of Gender based Violence and HTI-10/P-HR-RL/31572/R/1171 UNFPA - 358,985 358,985 100% - - CROSS- Response to Women Needs BORDER ACTIVITIES Building Capacity of Haitian Media to Raise HTI-10/P-HR-RL/31617/R/13721 CECOSIDA - 255,000 - 0% 255,000 - HAITI Awareness of Child Protection Issues. Emergency Protection interventions for HTI-10/P-HR-RL/31640/R/5768 AVSI unaccompanied and separated minors in - 1,040,968 - 0% 1,040,968 - HAITI Martissant – Port-au-Prince

109

Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) Protection and assistance for particularly DOMINICAN vulnerable groups within the displaced REPUBLIC and HTI-10/P-HR-RL/31702/R/120 UNHCR population and support to host communities to - 1,300,000 - 0% 1,300,000 - CROSS- enhance protection capacities (Dominican BORDER Republic and Haiti border area) ACTIVITIES Heartland Psycho-Social Service Delivery to Communities HTI-10/P-HR-RL/31715/R/13726 - 417,060 - 0% 417,060 - HAITI Alliance and Orphanages Emergency Child Protection interventions in the HTI-10/P-HR-RL/31724/R/5768 AVSI - 620,000 - 0% 620,000 - HAITI South Department Improved Caregiving Interventions for Orphans, HTI-10/P-HR-RL/31748/R/5160 IMC Separated, and Unaccompanied Children in - 857,295 - 0% 857,295 - HAITI Residential Centers Protecting the Vulnerable – Monitoring, Referral HTI-10/P-HR-RL/31763/R/5349 HI - 350,000 - 0% 350,000 - HAITI and Response to Key Protection Concerns Prevention of Gender Based Violence at community level in the North East and South HTI-10/P-HR-RL/31767/R/5524 Plan - 700,000 - 0% 700,000 397,492 HAITI East with a focus on Jacmel and Croix des Bouquets Monitoring, Reporting and Responding to HTI-10/P-HR-RL/31771/R/5179 IRC Human Rights Violations and Protection - 300,000 - 0% 300,000 - HAITI Concerns in earthquake-affected areas in Haiti DOMINICAN Dominican Republic. Protecting women, youth REPUBLIC and HTI-10/P-HR-RL/31778/R/1171 UNFPA and people with special needs impacted by the - 2,830,150 - 0% 2,830,150 - CROSS- Haiti earthquake BORDER ACTIVITIES DOMINICAN Prevention and response to family separation, REPUBLIC and HTI-10/P-HR-RL/31779/R/124 UNICEF child trafficking, smuggling, exploitation, illegal - 2,420,000 304,062 13% 2,115,938 - CROSS- movement and Child Protection coordination BORDER ACTIVITIES Protection and Legal Advice Centre in the HTI-10/P-HR-RL/31780/R/5179 IRC - 350,000 - 0% 350,000 - HAITI “Commune de Port au Prince’, Haiti Child Protection and Trafficking Prevention at Heartland HTI-10/P-HR-RL/31781/R/13726 Malpasse, Belladere, and Ounamanthe Border - 498,807 - 0% 498,807 - HAITI Alliance Crossings Preventing sexual abuse and exploitation, HTI-10/P-HR-RL/31783/R/298 IOM - 350,000 - 0% 350,000 - HAITI irregular migration and trafficking in persons Psychosocial support to children affected by the HTI-10/P-HR-RL/31786/R/5816 CISP earthquake in Delmas and Croix-des-Bouquets - 183,130 - 0% 183,130 - HAITI districts of Port-au-Prince HTI-10/P-HR-RL/31788/R/6993 ADRA-Haiti Psycho-Social Resiliency Project - 478,100 - 0% 478,100 478,000 HAITI Mercy Psycho-Social Support for Children Affected by HTI-10/P-HR-RL/31790/R/5162 - 692,688 125,000 18% 567,688 - HAITI Corps the Haiti Earthquake Project PlayCare Sites Deployment for Child Protection HTI-10/P-HR-RL/31802/R/13751 - 1,298,325 - 0% 1,298,325 - HAITI K.I.D. and Psycho-Social Support

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Sub total for PROTECTION 16,230,000 61,115,324 24,115,057 39% 37,000,267 1,549,648

WATER, SANITATION AND HYGIENE

WASH Emergency Response to the affected HTI-10/WS/31373/R/124 UNICEF 46,200,000 32,615,500 32,615,500 100% - 48,544 HAITI persons in Haiti Earthquake HTI-10/WS/31374/R/124 UNICEF WASH Cluster Coordination Activities 400,000 600,000 75,387 13% 524,613 - HAITI Public Hygiene Facilities (merged into project HTI-10/WS/31475/R/298 IOM 440,000 - - 0% - - HAITI HTI-10/S-NF/31476) Emergency support for IDPs through provision HTI-10/WS/31476/R/298 IOM 685,000 3,000,000 1,115,760 37% 1,884,240 - HAITI of water and sanitation facilities HTI-10/WS/31478/R/5186 ACF Emergency Earthquake Response – WASH. 700,000 4,560,000 3,217,570 71% 1,342,430 - HAITI

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Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) UN- Emergency Solid Waste Collection Systems in HTI-10/WS/31479/R/7039 2,000,000 1,997,904 - 0% 1,997,904 - HAITI HABITAT Affected Urban Areas Immediate relief and early recovery for the HTI-10/WS/31480/R/5120 OXFAM GB 3,000,000 5,440,950 5,440,950 100% - - HAITI earthquake-affected in Haiti Emergency Water, Sanitation, and Hygiene HTI-10/WS/31481/R/6079 SC 5,000,000 6,440,000 9,463,121 147% -3,023,121 - HAITI Response for those affected by the earthquake Deep Expanding Access to Household Water HTI-10/WS/31483/R/13282 Springs Treatment and Hygiene for Earthquake-Affected 400,000 472,592 - 0% 472,592 - HAITI International Populations Provision of Emergency Sanitation and Hygiene for 3500 Earthquake-Affected Households HTI-10/WS/31703/R/5861 IRD - 1,032,767 200,000 19% 832,767 - HAITI (28000 pax) in the Grande Riviere and Gros Morne Sections of Léogâne Commune, Haiti Water Sanitation and Hygiene support for the CARE HTI-10/WS/31726/R/5645 People Affected by the Haiti Earthquake of - 2,400,000 1,339,557 56% 1,060,443 - HAITI International January 2010 Improving Sanitation, Hygiene, and Access to HTI-10/WS/31753/R/5160 IMC Water for Earthquake-Affected Populations in - 1,070,366 - 0% 1,070,366 - HAITI Haiti Provision of emergency Watsan relief to HTI-10/WS/31819/R/6458 ACTED - 4,600,000 4,266,240 93% 333,760 - HAITI earthquake-affected populations in Haiti DOMINICAN WASH support for Earthquake victims in REPUBLIC and HTI-10/WS/31820/R/124 UNICEF Dominican Republic and in the areas bordering - 961,500 120,808 13% 840,692 - CROSS- Haiti BORDER ACTIVITIES DOMINICAN WASH support for Earthquake victims in REPUBLIC and HTI-10/WS/31875/R/122 WHO Dominican Republic and in the areas bordering - 385,200 - 0% 385,200 - CROSS- Haiti BORDER ACTIVITIES HTI-10/WS/31876/R/5167 COOPI Water and sanitation emergency activities - 750,000 - 0% 750,000 - HAITI Provision of Emergency Water Supply, HTI-10/WS/31877/R/5527 NCA Sanitation & Hygiene Promotion in Central Port - 3,290,000 2,079,723 63% 1,210,277 - HAITI au Prince. Meeting Critical water and Sanitation needs for HTI-10/WS/31878/R/5179 IRC - 1,000,000 - 0% 1,000,000 - HAITI Communities affected by earthquake in Haiti WASH response to emergency needs of HTI-10/WS/31879/R/5633 Solidarités - 2,500,000 - 0% 2,500,000 - HAITI populations affected by earthquake. DOMINICAN REPUBLIC and Aide et HTI-10/WS/31932/R/7224 Environmental health - 650,000 - 0% 650,000 - CROSS- Action BORDER ACTIVITIES Sanitation project for the district of Belladere- OXFAM HTI-10/WS/31963/R/12721 Haiti as an effort to relief the displaced persons - 50,025 - 0% 50,025 - HAITI Quebec of the earthquake in the border area

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Project Code (click on any project Original Revised Funding Unmet Uncommitted Appealing % code to open on-line sheet of full Project title Requirements Requirements Requirements Pledges Location Agency Covered project details) ($) ($) ($) ($) ($) Hygiene Promotion with Water and Sanitation HTI-10/WS/31997/R/8502 WVI - 2,325,000 2,290,722 99% 34,278 - HAITI Facilities in and around Port-au-Prince Emergency Rapid Intervention in Sanitation and HTI-10/WS/32016/R/6971 RI - 4,496,821 1,500,000 33% 2,996,821 - HAITI Hygiene for Earthquake-Affected Communities

Sub total for WATER, SANITATION AND HYGIENE 58,825,000 80,638,625 63,725,338 79% 16,913,287 48,544

FLEXIBLE FUNDING, CLUSTER NOT YET SPECIFIED

HTI-10/SNYS/31364/124 UNICEF Awaiting allocation to specific project/sector - - 44,940,699 0% -44,940,699 288,600 HAITI HTI-10/SNYS/31366/561 WFP Awaiting allocation to specific project/sector - - 70,013,444 0% -70,013,444 500,000 HAITI HTI-10/SNYS/31368/298 IOM Awaiting allocation to specific project/sector - - 12,648,008 0% -12,648,008 - HAITI ERF HTI-10/SNYS/31381/R/8487 Emergency Relief Response Fund (ERRF) Haiti - - 59,387,837 0% -59,387,837 - HAITI (OCHA) HTI-10/SNYS/31497/1171 UNFPA Awaiting allocation to specific project/sector - - 3,734,092 0% -3,734,092 - HAITI (details Awaiting allocation to specific HTI-10/SNYS/31522/R/5826 not yet - - - 0% - 8,000,000 HAITI agencies/projects/sectors provided)

Sub total for CLUSTER NOT SPECIFIED - - 190,724,080 0% -190,724,080 8,788,600

Grand Total 562,060,654 1,441,547,920 673,732,111 47% 767,815,809 16,203,499

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ANNEX II. TOTAL CONTRIBUTIONS, COMMITMENTS, AND PLEDGES TO DATE PER DONOR

HAITI REVISED HUMANITARIAN OUTSIDE OF THE FRAMEWORK OF APPEAL THE HAITI REVISED FLASH APPEAL Donor Funding Uncommitted Funding Uncommitted pledges pledges ($) ($) ($) ($) Private (individuals & organisations) 214,133,509 5,927,475 653,696,061 79,765,172 United States 131,540,547 - 469,860,794 - Canada 59,050,322 - 22,280,766 - Saudi Arabia 50,000,000 - Spain 39,551,874 - 5,411,256 - United Nations Central Emergency Response Fund (CERF)* 27,976,462 - Japan 21,500,000 - 3,827,154 45,000,000 Sweden 18,771,348 - 7,066,444 278,940 France 16,951,618 - 16,961,039 - Norway 15,525,121 - 9,705,372 - Denmark 10,761,449 - 5,526,511 - United Kingdom 9,311,920 - 23,695,294 - Australia 8,600,117 - 4,361,511 - Brazil 6,834,782 - 50,000 10,000,000 Germany 6,493,507 - 6,980,494 7,612,085 European Commission (ECHO) 5,691,746 840,336 9,651,232 154,535,521 Finland 4,689,754 - 3,027,253 - Italy 3,591,056 - 5,950,938 - Congo, The Democratic Republic of 2,500,000 - Carry-over (donors not specified) 2,219,169 - Allocations of unearmarked funds by UN agencies 1,683,977 - - - Nigeria 1,500,000 - Switzerland 1,456,311 - 8,504,854 - Netherlands 1,443,001 - 3,607,503 - Korea, Republic of 1,200,000 - - 8,800,000 Austria 1,120,448 - 577,200 - Luxembourg 1,001,612 - 721,500 - Gabon 1,000,000 - Tunisia 1,000,000 - Belgium 860,750 - 2,094,877 - Ireland 853,068 - 1,803,751 1,499,452 New Zealand 712,251 - 719,942 719,942 China 700,000 1,000,000 9,339,457 5,000,000 Algeria 500,000 - 500,000 - Turkmenistan 500,000 - Greece 288,600 - 635,619 - Czech Republic 268,557 - 865,801 - Burkina Faso 200,000 - Poland 200,000 - 1,831,169 - Monaco 144,000 - Botswana 128,100 - Benin 118,250 - Bulgaria 100,000 - 101,010 -

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HAITI REVISED HUMANITARIAN OUTSIDE OF THE FRAMEWORK OF APPEAL THE HAITI REVISED FLASH APPEAL Donor Funding Uncommitted Funding Uncommitted pledges pledges ($) ($) ($) ($) Kazakhstan 100,000 - Macedonia, Former Yugoslav Republic of 100,000 - 36,075 - Liechtenstein 97,087 97,088 Moldova, Republic of 90,000 - Romania 72,150 - Malta 70,028 - 129,870 - Andorra 69,920 - Montenegro 68,700 - Cambodia 60,000 - Iceland 56,000 - - - Brunei Darussalam 50,000 - Colombia 50,000 - - - Philippines 50,000 - - - Singapore 50,000 - 352,100 - Viet Nam 50,000 - Bahamas 25,000 - Mexico - 8,000,000 - - Hungary - 288,600 144,300 - Indonesia - 50,000 1,700,000 - Russian Federation 5,700,000 - India 5,000,000 - United Arab Emirates 4,384,650 2,703,542 Ghana 3,000,000 - Turkey 2,250,000 - Guyana 1,893,000 - Portugal 1,443,001 - Morocco 1,000,000 33,000,000 Bahrain 1,000,000 - Kuwait 1,000,000 - Senegal 1,000,000 - Suriname 1,000,000 - Trinidad and Tobago 1,000,000 - Croatia 629,755 - Mauritius 500,000 - Estonia 356,421 - Slovakia 324,675 - Slovenia 243,188 - Saint Lucia 185,185 - Pakistan 171,695 - Cyprus 144,300 - Thailand 120,000 - Grenada 100,000 - Saint Vincent and the Grenadines 100,000 - Sierra Leone 100,000 - British Virgin Islands 80,000 - Bosnia and Herzegovina 73,780 - Liberia 50,000 -

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HAITI REVISED HUMANITARIAN OUTSIDE OF THE FRAMEWORK OF APPEAL THE HAITI REVISED FLASH APPEAL Donor Funding Uncommitted Funding Uncommitted pledges pledges ($) ($) ($) ($) Antigua and Barbuda 37,037 - Lithuania 20,896 - European Commission - 432,900,432 Union of South American Nations - 100,000,000 World Bank - 100,000,000 Dominican Republic - 4,976,499 Equatorial Guinea - 2,000,000 Gambia - 1,000,000 Ukraine - 500,000 Armenia - 100,000 Rwanda - 100,000 Serbia - 100,000 Argentina Bangladesh Barbados Bolivia Chile Cuba Ecuador Egypt El Salvador Georgia Iran (Islamic Republic of) Israel in-kind contributions or pledges Jamaica with no monetary value specified Jordan Lebanon Malawi Nicaragua Panama Paraguay Peru Qatar South Africa Syrian Arab Republic Uruguay Venezuela Grand Total 673,732,111 16,203,499 1,314,624,730 990,591,585

*The CERF channels funds from donors.

NOTE: "Funding" means Contributions + Commitments.

Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.)

Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed.

Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.

FTS only records grants. These tables therefore do not reflect (interest-free) loans to Haiti.

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ANNEX III. INTERNATIONAL FEDERATION OF RED CROSS AND RED CRESCENT SOCIETIES

Emergency appeal n° MDRHT008 Haiti: Earthquake GLIDE EQ-2010-000009-HTI 13 January 2010 This Preliminary Emergency Appeal seeks CHF 10,199,465 (USD 10m or EUR 6.8m) in cash, kind, or services to support the Haitian National Red Cross Society (HNRCS) to assist 20,000 families (some 100,000 beneficiaries) for nine months.

CHF 500,000 (USD 491,265 or EUR 338,880) was allocated from the Federation’s Disaster Relief Emergency Fund (DREF) to jump start response activities and mobilization of Federation personnel. Un-earmarked funds to replenish DREF are encouraged.

Summary: An earthquake of a magnitude of 7 (Mw) (reference: United States Geological Survey), struck the Haitian coast on 12 January at 17:00 hours rocking the capital and generating a tsunami alert in Haiti and neighbouring countries. The epicentre was located 22 kilometres from the capital, Port-au-Prince and 15 kilometres from the closest towns. A series of aftershocks have been felt, the strongest measuring 5.9 and 5.5 respectively.

Based on the situation and information available at this time, the International Federation launched this Emergency Appeal on a very preliminary basis, responding to a request from the Haitian National Red Cross Society for immediate support to deliver lifesaving assistance in the following sectors: non-food relief items, shelter, emergency health and water and sanitation. Limited damage, needs and loss assessment data is currently available although the catastrophic impact of the disaster is evident and the response operation is expected to quickly increase in volume and intensity on the basis of further assessments over the coming days. A revised Emergency Appeal reflecting the massive scale of this disaster and the corresponding needs is in process, and will be launched shortly.

Coordination and partnerships The Federation team in Haiti has been in constant contact with the Pan American Disaster Response Unit (PADRU) in Panama and the Regional Representation for the Latin Caribbean in the Dominican Republic, providing initial information on the situation and coordinating the emergency response. The International Federation’s Regional Representation for the French and Spanish speaking Caribbean has been monitoring the situation from the Dominican Republic and has alerted all Partner National Societies (PNS) in the area of the current situation and the tsunami alert.

The Federation mobilized the following resources to support the Red Cross and Red Crescent Movement coordination and to support the HNRCS with rapid assessment activities: • A regional team comprising a reporting delegate, logistician and health in emergencies coordinator deployed on 13 January to Haiti through the Dominican Republic. • A Field Assessment Coordination Team (FACT) with staff specialized in shelter, relief, health, logistics and reporting deployed on 13 January to Haiti

Given the nature of the situation in Haiti, the Federation and ICRC are collaborating closely on a 'Movement' approach, including collaboration, facilitation, and support for the entry and movement of the FACT and ERU assets. ICRC is also deploying a rapid response unit that will work closely with

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Federation personnel. The ICRC response unit will assess needs in support of their ongoing programme and expertise in restoring family links (RFL), work in prisons, and the management of dead bodies.

PADRU has participated in coordination meetings with UN OCHA in Panama to share preliminary information on needs and response, including the mobilization of assessment teams. A United Nations Disaster and Assessment Coordination Team (UNDAC) is being mobilized and OCHA has indicated that a UN Flash Appeal will be launched shortly.

The Federation Zone Office in Panama is coordinating planning with operational partners to ensure the timely delivery of assistance and to contribute to the humanitarian coordination effort. The first regular telephone conference to brief National Societies on the developing situation was conducted on 13 January.

Red Cross and Red Crescent action The Federation representation in country is liaising with all Movement Partners to coordinate and mobilize the response efforts. There has been very limited direct communication with the HNRCS leadership due to damage to the National Society headquarters building, the communications network, and difficulty in moving about within Port-au-Prince.

All HNRCS volunteers are currently assisting the affected people along with PNSs, the Federation office and the International Committee of the Red Cross (ICRC) in Haiti. The Emergency Operations Centre of the Dominican Red Cross is active and coordinating first assessments from the border area. A first triage of wounded people is being carried out by the HNRCS in Port-au-Prince. The National Society’s VHF system is functioning and providing constant monitoring and information sharing between all Movement partners in country. The Dominican Red Cross, the International Federation Regional Representative in Santo Domingo and the Spanish Red Cross carried out an assessment by air on 13 January.

The following Emergency Response Units (ERUs) have been deployed: Logistics (Swiss Red Cross), Rapid Deployment Hospital (Norwegian/Canadian Red Cross), IT&Telecom (Spanish Red Cross), two Relief/shelter units (American and a joint Benelux/French Red Cross), two mobile Basic Health Care units (German and a joint Finnish/French Red Cross) as well as two Water/Sanitation Modules for 15,000 people each (Spanish and French Red Cross). Other National Societies such as the Austrian, British, Danish, Italian, Japanese, New Zealand and Swedish Red Cross are on stand-by in case more ERUs are needed. Various partner National Societies are mobilizing additional support for operational teams, and the International Federation in Port-au-Prince is starting to secure possible areas for office and accommodations for incoming teams.

The needs Immediate needs: Based on the information available at the moment the immediate needs are focused on vulnerable groups and initially include: search and rescue activities, relief distributions, emergency health, water and sanitation, emergency shelter, logistics and telecommunications. A gender focus forms one of the main criteria for the selection of beneficiaries. Once initial assessments are carried out, further needs will be identified. Given the nature of the disaster, restoring family links (RFL) is a vital part of the operation for the initial response stage.

The proposed operation The operation is designed to provide immediate support to the Haitian National Red Cross Society in the delivery of lifesaving assistance and relief in the sectors mentioned above for 20,000 families (some 100,000 people). The operation is very fluid and evolving quickly, and it is anticipated that the beneficiary numbers will increase. The initial allocation from DREF funds allows the National Society to initiate damage and need assessments and to jump-start relief activities and the mobilization of personnel. Assessments are just beginning, and more detailed information will become available shortly. Based on this, objectives may be added or expanded on, as relevant to the operation.

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The security situation in Haiti is a source of concern, and the Federation is taking concrete steps to reinforce its security capacity with technical staffing and updated protocols and procedures.

Relief distributions (basic non-food items) Objective: Up to 20,000 families (100,000 people) affected by the earthquake will have benefited from the distribution of non-food items. Expected results Activities planned Up to 100,000 people affected • Deployment of two Relief/shelter ERUs: by the earthquake see their • Conduct rapid emergency needs and capacity assessments. basic needs met by receiving • Develop a beneficiary targeting strategy and registration system to essential non-food items. deliver intended assistance. • Distribute relief supplies and control supply movements from point of dispatch to end user. • Monitor and evaluate the relief activities and provide reporting on relief distributions. • Develop an exit strategy.

Emergency shelter Objective: Ensure that up to 5,000 affected families have healthy and safe emergency shelter to help preserve their physical and mental well-being, human dignity and prevent the further deterioration of their humanitarian situation. Expected results Activities planned Up to 20,000 families have • Conduct rapid emergency needs and capacity assessments. adequate shelter which • Develop community and beneficiary targeting strategy in coordination assists them in returning to with local authorities. their daily lives. • Assess the extent of the shelter needs and preferred shelter solutions. • Distribute shelter supplies and control supply movements from point of dispatch to end user. • Develop a transition strategy to meet early recovery shelter needs. • Develop a shelter strategy and plan of action to deliver on both emergency shelter solution and shelter recovery options. • Distribute appropriate shelter relief items to assist the population and allow them to play an active role in the reconstruction process • Monitor and evaluate the shelter activities and report on distributions.

Emergency health, water, sanitation and hygiene promotion Objective 1: The affected communities will benefit from basic medical care provided by the HNRCS. Objective 2: The affected communities will benefit from psycho-social support (PSP) to assist in recovery from the effects of the earthquake. Objective 3: The affected communities and people in shelters will be sensitized on key health messages through a health awareness campaign related to vector control and water borne diseases. Expected results Activities planned Up to 20,000 families have For objective 1: received adequate emergency • Conduct rapid emergency needs and capacity assessments. health care. • Develop community and beneficiary targeting strategy in coordination with local authorities. • Assess the extent of the WASH needs and preferred solutions.

For objective 2: • Coordination of activities with the health authorities. • Identification where medical assistance is most needed. • Prioritization and identification of beneficiaries (children, women, elderly). • Organization and support of volunteers. • Further assessments need to be completed by the HNRCS and other external actors in order to describe a health objective.

For objective 3: • Need and damage assessments including basic sanitation activities. • Mobilization of volunteer water and sanitation teams. • Identification of communities most affected and shelters available. • Identification of beneficiaries. • Agreements with local authorities for water supply. • Water and sanitation activities. • Training workshops in water sanitation for all volunteers. • Storing and distribution of drinking water to shelters and affected communities.

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• Health awareness campaigns. • Further assessments will be completed by the HNRCS supported by other actors to address the need for a water and sanitation campaign.

Early Recovery Early recovery is a priority focus of the Federation, and while it might be premature to assess and specify the detailed needs of the affected population and the activities to be implemented, the assessments currently underway will identify opportunities for early recovery interventions targeting the restoration of livelihoods, transitional and permanent shelter and psycho-social support. Small unconditional cash grants and cash-for-work are some of the potential activities and approaches that will be considered.

How we work All International Federation assistance seeks to adhere to the Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGO's) in Disaster Relief and is committed to the Humanitarian Charter and Minimum Standards in Disaster Response (Sphere) in delivering assistance to the most vulnerable. The International Federation’s Global Agenda Goals: activities are aligned with its • Reduce the numbers of deaths, injuries and impact from disasters. Global Agenda, which sets out • Reduce the number of deaths, illnesses and impact from diseases and four broad goals to meet the public health emergencies. Federation's mission to "improve • Increase local community, civil society and Red Cross Red Crescent the lives of vulnerable people by capacity to address the most urgent situations of vulnerability. mobilizing the power of • Reduce intolerance, discrimination and social exclusion and promote humanity". respect for diversity and human dignity. Contact information For further information specifically related to this operation please contact: • In Panama: Mauricio Bustamante, Acting Head of the Pan American Disaster Response Unit (PADRU), phone (507) 316 1001; fax (507) 316 1082; email: [email protected]. • In Panama: Ilir Caushaj, Acting Head of the Regional Logistic Unit, phone (507) 316 1001; fax (507) 316 1082; email: [email protected]. • In Dominican Republic: Alexandre Claudon, Regional Representative for the Latin Caribbean; e-mail: [email protected]. • In Panama: Maria Alcázar, Resource Mobilization Coordinator for the Americas; cell phone: (507) 66781589; email: [email protected] • In Geneva: Pablo Medina, Operations Coordinator for the Americas; phone: (41 22) 730 42 74; fax: (41 22) 733 03 95; email: [email protected]

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ANNEX IV. ACRONYMS AND ABBREVIATIONS

3W Who does What Where

ACF Action Contre la Faim (Action Against Hunger) ACDI - CIDA Agence canadienne de développement international - Canadian International Development Agency ACDI/VOCA Agricultural Cooperative Development International / Volunteers in Overseas Cooperative Assistance ACTED Agency for Technical Cooperation and Development ADRA Adventist Development and Relief Agency AECID Agencia Española de Coopercíon Internacional para el Desarrollo (Spanish Agency for International Cooperation) AED Academy for Educational Development AHPH l'Association des hôpitaux privés d'Haïti (Private Hospital Association of Haiti) AIR H. (undefined) AMERICARES AmeriCares AMPAP Metropolitan Area of Port-au-Prince AMURT Ananda Marge Universal Relief Team AOPS Associations des Oeuvres Privées de Santé AOR area of responsibility AR (undefined) ARC American Refugee Committee ART antiretroviral treatment AVSF Agronomes et vétérinaires sans frontières AVSI Associazione Volontari per il Servizio Internazionale

CAASD Santo Domingo Water and Sewer Corporation CARE Cooperative for Assistance and Relief Everywhere (International) CBM Christian Blind Mission CBOs community-based organizations CBR community-based rehabilitation CCCM Camp Coordination and Camp Management CDC Centers for Disease Control CECOSIDA Centre de Communications Sur le SIDA CEPAM Center for Women's Promotion and Action CERF Central Emergency Response Fund CESAL (not an acronym; name of Spanish NGO) CESVI Cooperazione e Sviluppo CFM (undefined) CFS child-friendly space CfW cash-for-work CHF CHF International (NGO) CIAC children involved in armed conflict CIDA Canadian International Development Agency CISP childhood immunization support programme CMAM community management of acute malnutrition CMMB Catholic Medical Mission Board CNES Centre National d’Etudes Spatiales CNP child nutrition programme CNSA Coordination Nationale de la Sécurité Alimentaire (National Coordination of Food Security - CNSA) CODAP Coordination Office for Donor-Aided Projects CODIA Cooperative Systems Deployment Impact Assessment COE Centro de Operaciones de Emergencias COIN Centro de Orientacion Integral (Centre for Integrated Training and Research) COMCEN communication centre CONANI Consejo Nacional de la Niñez COOPI Cooperazione Internazionale COOPMUNA Cooperativa de Municipios Asociados COPRESIDA Consejo Presidencial del SIDA CORAAPLATA Puerto Plata Water Supply and Sanitation Corporation COSALUD El Colectivo por la Salud Popular CP child protection CROSE Coordination Régionale des Organisations du Sud-Est CRS Catholic Relief Services

DDASE Direction Départementale Agricole du Sud-Est

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DIFID (United Kingdom) Department for International Development DIGESA Direccion General de Salud Ambiental (General Directorate for Environmental Health) DINEPA Direction Nationale de l’Eau potable et de l’Assainissement (National Directorate for Potable Water and Sanitation DPC Direction de la Protection Civile (Civil Protection Directorate) DPSPE Direction de Promotion de la Santé et de Protection de l’Environnement DPT diphtheria, pertussis, tetanus DR Dominican Republic DRR disaster risk reduction DSRSG Deputy Special Representative of the Secretary-General DT diphtheria and tetanus

EC European Commission ECD early childhood development ECHO European Commission Humanitarian Aid Office EFSA Emergency Food Security Assessment EMIS Education Management Information System EOMC Emergency Operation Management Centre ER early recovery ERF Emergency Response Fund ERRF Emergency Relief Response Fund ETC Emergency Telecommunications Cluster EWARN Early Warning Alert and Response Network

FAO Food and Agriculture Organization of the United Nations FEWS NET Famine Early Warning System Network FFW food-for-work FHI Food for the Hungry International FLASCO RD Faculté Latino-américaine de Sciences Sociales Republique Dominicaine FMA Flight Management Application FONDEFH Fondation pour le développement et l’encadrement de la Famille Häitienne (Foundation for the Development of the Haitian Family) FSB Federation of Small Businesses FTC Feed the Children - Haiti FTS Financial Tracking Service FUNOCOJ Fundación Opción Comunitaria y Juvenil

GAA German Agro Action (now called Welthungerhilfe) GAM global acute malnutrition GARR Groupe d'Appui aux Rapatriés et Réfugiés GBV gender-based violence GDP gross domestic product GDACS Global Disaster Alert and Coordination System GEM gender empowerment measure GHESKIO Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections GNA global needs analysis GNI gross national income GoH Government of Haiti GVC Gruppo di Volontariato Civile

HARVARD OMI Harvard Operational Medicine Institute HAS Humanitarian Air Service HC Humanitarian Coordinator HCT Humanitarian Country Team HDR Human Development Report HEB high-energy biscuit HF high frequency hh household HHS Health and Human Services HI Handicap International HIV/AIDS human immuno-deficiency virus/acquired immuno-deficiency syndrome HP (undefined) HSC Hôpital Sacré Coeur HSIS Health Services Information System

IASC Inter-Agency Standing Committee IBR institute-based rehabilitation ICRC International Committee of the Red Cross ICT information and communication technologies

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ID Initiative Development IDEAC Instituto para el Desarrollo de la Empresa Asociativa Campesina IDP(s) internally displaced person (people) IFRC International Federation of Red Cross and Red Crescent Societies IFPRI International Food Policy Research Institute IHSI Institut Haïtien de Statistique et d'Informatique (Haitian Institute of Statistics and informatics) IICA Inter-American institute for Cooperation on Agriculture ILO International Labour Organization IM information management IMC International Medical Corps INAPA Rural Department of the National Water Agency in the Dominican Republic INDESP Instituto Nacional de Desenvolvimento do Desporto INEE Inter-Agency Network on Education in Emergencies INGOs international non-governmental organizations INTEC Institute of Technology (Santo Domingo) InterAction The American Council for Voluntary International Action IOM International Organization for Migration IR Islamic Relief IRC International Rescue Committee IRD International Relief and Development IRIN Integrated Regional Information Network ISDR International Strategy for Disaster Reduction IT information technology I-TECH International Training and Education Centre on HIV IYCN Infant and Young Child Nutrition

JOTC Joint Operation and Tasking Centre

LEMA Local Emergency Management Authorities LSS/SUMA Logistics Support System / Humanitarian Supply Management System LWF Lutheran World Federation

M&E monitoring and evaluation MARNDR Ministère de l’Agriculture, des Ressources Naturelles et du Développement Rural MAST Ministère des Affaires Sociales et du Travail MDM Médecins du Monde MEBSH Mission Evangelique Baptiste du Sud d'Haïti Medair (not an acronym; name of an NGO) MENFP Ministry of National Education and Professional Training MERLIN Medical Emergency Relief International MFK Meds and Food for Kids MHPSS mental health and psycho-social support MICT Ministère de l’Intérieure et des Collectivités territoriales MINUSTAH United Nations Stabilization Mission in Haiti MISP minimal initial service package MoE Ministry of Education MoH&P Ministry of Health and Population MoSA Ministry of Social Affairs MOSS Minimum Operating Security Standard MPCE Ministry of Planning and External Cooperation MR measles rubella vaccine MREs meals ready-to-eat MSF Médecins sans Frontières (Doctors Without Borders) MSH Management Sciences for Health MoSPP Ministère de la Santé publique et de la Population (Ministry of Public Health and Population) MTs metric tons MTPTC Ministère des Travaux Publics, Transports et Communications (Ministry of Public Works, Transportation and Communications) MYR Mid-Year Review

NCA Norwegian Church Aid NCC Nutrition Cluster Coordination NCDs non-communicable diseases NFI(s) non-food item(s) NGO(s) non-governmental organization(s)

O.E.I. Organización de Estados Iberoamericanos OCHA Office for the Coordination of Humanitarian Affairs

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OFDA Office of Foreign Disaster Assistance (USAID) OHCHR Office of the High Commissioner for Human Rights OMS Organisation Mondiale de la Santé (WHO) OPS/OMS Organización Panamericana de la Salud (PAHO) /Organisation Mondiale de la Santé ORS oral rehydration salt OXFAM Oxfam

PADF Pan American Development Foundation PADI (undefined) PAHO Pan-American Health Organization PAM Programme Alimentaire Mondial (WFP) PAP Port-au-Prince PDNA Post-Disaster Needs Assessment PDSRSG Principal Deputy SRSG PEP post-exposure prophylaxis PEPFAR US President’s Emergency Plan for AIDS Relief PESADEV Perspectives pour la Sante et le Développement (Prospects for Health and Development) PHC primary health care PHPIEGO Johns Hopkins Programme in Education for Gynecology and Obstetrics PiH Partners in Health PLWHA people living with HIV/AIDS PMTCT prevention of mother-to-child transmission PNH Police Nationale d'Haïti (National Police of Haiti)

PROGRESSIO Catholic Institute for International Relations (working name) PROMESS Programme de Médicaments Essentiels (Essential Drugs Programme) PSF Pharmaciens Sans Frontières PSI Population Service International PTA Parent-Teachers’ Association

RC Resident Coordinator RF Recovery Framework RI Relief International RITA Relief Items Tracking Application RNDDH Réseau National de Défense des Droits Humains ROLAC (OCHA) Regional Office for Latin America and the Caribbean RUTF ready-to-use therapeutic food

SAR search and rescue SC Save the Children SD standard deviation SDSH Santé pour le Développement et la Stabilité d'Haïti SEEPYD Secretaría de Economía, Planificación y Desarrollo SESPAS Secretariat of Public Health and Social Welfare SFP supplementary feeding programme SGBV sexual and gender-based violence SINATRAE National Union of Nursing Workers SJRM Jesuit Service for Refugees and Migrants SMCRS Metropolitan Service for Solid Waste Collection SNGRD Système National de Gestion Des Risques et des Désastres SP Samaritan’s Purse SRSG Special Representative of the Secretary-General

TB tuberculosis Tdh Terre des Hommes TSF Télécoms Sans Frontières

UASD Universidad Autonoma de Santo Domingo UCODEP Unity and Cooperation for the Development of the People UN United Nations UN-HABITAT United Nations Centre for Human Settlements UNAIDS United Nations Programme on HIV/AIDS UCODEP Unity and Cooperation for the Development of the People UGR University of Grenada UNCT United Nations Country Team UNDP United Nations Development Programme UNDSS United Nations Department of Safety and Security UNEP United Nations Environment Programme

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UNESCO United Nations Educational Scientific and Cultural Organization UNFPA United Nations Population Fund UN-HABITAT United Nations Human Settlements Programme UNHAS United Nations Humanitarian Air Service UNHCR United Nations High Commissioner for Refugees UNIBE Universidad Iberoamericana UNICEF United Nations Children’s Fund UNIFEM United Nations Development Fund for Women UNOPS United Nations Office for Project Services UNOSAT United Nations Organization Satellite US or USA United States of America USDA United States Department of Agriculture USAID United States Agency for International Development UNV United Nations Volunteers

VETERMON Veterinarians Without Borders (Spain) VHF very high frequency VOSCOCC Virtual On-Site Operations Coordination Centre VSAT Very Small Aperture Terminal

WASH water, sanitation and hygiene WC World Concern WFP World Food Programme (Programme Alimentaire Mondial) WHI World Hope International WHO World Health Organization WV(I) World Vision (International)

YMCA Young Men’s Christian Association

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OFFICE FOR THE COORDINATION OF HUMANITARIAN AFFAIRS (OCHA)

UNITED NATIONS PALAIS DES NATIONS NEW YORK, N.Y. 10017 1211 GENEVA 10 USA SWITZERLAND